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S 2894 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY ON CUPRN'1'I NO PaIll.111NG-ELF.CfRICA1, PEHAII T NO. r BUILDING DIVISION APPLICA711ONMERMIT BUILDING PROJECT]UP.NTI FICS 2894 ATIIN - SANITARY NO, AI'I'LICATION SUIfMI'PIAI.DAVE BUIL1)INUIlRF55: MO/ OWNE:R'. NAME: I'HUNE: fRACIOR IS !: LIC No I S O 0 NAC I! 9C7N IRU7.q �kI<Gi1"1�C' NGINEP INS AD DRE. 1�i1'V V � ❑ f Z COMI'nCT:FI/' q PHONE: 07C � BUILDING PERMIT INFO T u( poo) 37/d(}0-c"D ❑ Consuhanl Fccs paid by Applicant(Initial) RLDG , IiLEC PLUMB MPCU LICENSED CONTRACTORS DECLARATION Q'ry ELECTRIC PERMIT FEL' thereby anion that I rot hcansed ander pnosi o of Chapin,9 wmmmeneing JOB DESCRIPTION OFOO •— mlrecmr'll'ndu\simlX male,India,nay license i. �O RESIDENTIAL: will ticmicn 91X)111 of U�v$'omn 1'It The If' PI!It MIT ISSUANCE x�F in full farce and affects el) oS ❑SFUWL ❑KITCHEN REMODEL NQ1 UmcnscC vs l� C, loTtz APPLIANCES-RESIDeNT1AL ❑ADDITION ❑PLUh1111NG RG1'll'E A CIIITECT'S OECLAN ION 1'ANIiLS ❑h1UhTI-UNIT ❑STRUCfUkAI. F h Z unJeratulJ mY plana nh:Jl M:uxeA as public record. , � MODIN17Y REPAIR owi� UI"1'O 21N)AMI'S �i�^� LINTY:RIOR ❑CIIIhiNEY RIiI'AIR F4t, Licensed Pmle.oimcl 201-1000AMPS IMPROVEMENT L]SWIMMING I'(IGIS Q Oin Tarn IIILUI!RDECe CoulnON ❑BAER REMOp1 PAIR DEMOLITION G•w w DV ER IfXNI AMPS C M'Q Imreny anon inn :nn camnpl I}an,me Gontrns Coad 1.iceI Law for Ina / X L U Idlnu rg macro.(Section 9181.5,Easiness and I'mfdsiotm Ciida:Any tidy or coa IY SIGNS ELECTRICAL ❑TYfHL+R W 3 LL N which requires a Permit to ainstrua,alter.improve,demolish,or repair any structure O F4Q;