HomeMy WebLinkAbout081 (4) '"' CITY OF DIAMOND BAR
t�• " DEPAKTMENT OF BUILDING AND SAFETY PRESS � �
BUILDING PERMIT FIRMLY
JOBSITE ' APPLJCATION O .� )_ ' � PERMIT ' USE
ADDRESS ` � �� SSUE / TYPE ER �CODE
� APN LOT TRA DATE CONST. GROUP���
o CROSS ST EET � SETBACKS ""OiE"'F"'�
m OVVNER � - I` � ZONING FRONT RW ❑
� ADD 5S � " n� � � • REAR ❑
W CITY � ZIP TEL. SIDE/SIDE STREET RW ❑
o APPLJCANT TEL. SIDE ❑
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� CONTRACTOR J � SEWAGE ❑ PUBLIC PMT�
o ADDRESS DISPOSAL
W CITY Z�p . ❑ PRIVATE SQ.FT./100 GAL
= STATE
y LJC.NUUIBER GRADING ❑ CU.YDS.EXC. CU YDS FILL
y ARCH/ENG/ � T'YFE SO FT FACTOR PS ADJ. AREANALUATION
¢ DESIGNER W �
o ADDRESS LL 2
z CITY ZIP TEL. (�} 3
f PROPOSED USE � Z 4
� � GARAGE
o NO.DVVEL. NO. NO. � pORCH
y UNITS STORIES BEDROOMS
� LOT DIuIENSIONS m VALUATION ADJ.AREA
o NO.OF BLDGS HO�N . OUANTRY DESCRIPTION FEE
W ON LOT USED • Q . .. �
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o �u" �""`• ELECTRIC
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o W PARK FEE
0 0.•� °y'�'�,^� LL. �O� FEES
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� �'"^"'"'^° COMMENTS
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:y;na�ue o1 A;.p�cni a Ar�� p�,e RECPT NO. PAID BY VAUDATION
wNiTF—oaoanmant coov_YELLow—Finance Coov.PINK—Assessor Coov.GOLDENFOD—Fde Coov.GREEN—Aoolicants Coov
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