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HomeMy WebLinkAbout13781 _...---- _—_� . _ _ �_ � �` CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 , PRESS �^^� BUII.DING PERMIT APPLICATION FIRMLY N JOBSITE ,�p APPLICATIO PERMff P!C o ADDRESS 2 O���L���X C ���r�� DATE �~I S'l� NUMBER N c� ISSUE TYPE OCC APN LOT � TRACT DATE CONST. GROUP p OWNER � � �-�-�- ADDRE CF�L11D' ZONING SEfBACKS � CITY �I 21P���TEL�C S�'L��q{j REART� . RW ❑ APPLICANT TEL. p � SIDFJSIDE STREET--' �� �•" ' • RW O CONTRACTOR �- G SIDE ❑ � ADDRESS �02� C(TY"SG�N �D���. 21� TELZZb�V1Y PROPOSEDUSE o ARCHfENG/ • � DESIGNER NO.DWEL. NO. NO. ADDRESS UNRS STORIES BEDROOMS � CffY ZIP TEL � cn DESCRIPTION SQ.FT. 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Z ICEMIFYTMATNTHEVERFORMudCEOGiHESN]RKFORWHIq1iH�SPERMIiI5155UED.1 MECHANICAL �r�}� (;} �� 511ALLNOTEMPIOVINYPER50NNANY�.W�N[q$pA5T08EC0'AESI:&IELTTOTXE (n NORKERS'Cp.1GENS�TION UM5 Oi CA�IFORhi/ti AND AGREE THAT IF I SHCM.ID BECOMc INSPECTION FEE SUBJECT TO iHE W�KERS'CDuvEN5A710N PROVIS�ONS OF SELTION]70o OF iHE IABOF �^r s mo�,�s/uu Foan�n+ca�rir win�nase rRoh,ar+s. ISSUANCE �y:� '� �" . C� V .. � SMfP J U L.. ��-•- ..n p WTE: APPLICANT. , � ENERGYP/C C''I'v('�i":F'1'�}..`..':.sJ,•�• - WMNiN�:FAI:uRE TO SEdJflE NqAKERS'CWAPENSATqN CAVCRACE IS UNLAWFUI,AND SIW18E - (—y SUBJECfIWEMPIOYERTOCR11AiNALPENALTIES�NDCMLFINC5UPi00NEM1NDRCDh10USWD EN[RGYPERMIT_T:� � � � OOIURS(f too,aoo�,M AODITCN i0 TNE CO57OF COuoENSAinu.OUAAGES AS VROviDEO FOR IN ¢ SECi�ON 97Ce OF i/1E LAOOfi CODE,INTERESi M1D ATTORNEYS iEE4. 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