HomeMy WebLinkAboutS2018-0126 - Permit ApplicationWOR SHBUILDING DIVISION EET FOR POOL COMBINATION PERMIT APPLICATION
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2. DESCRIPTION OF WORK -pCo L s S PA
W.7_T"I
ESTIMATED $ VALUATION
1685 20/8
5018-0126
SWIMMING POOL 0-� SPAL� PG066NG NG [o j— - DRAfPoA6E'0
Chock Annrnnriate hox for Annlicant
3. OWNER'S NAME LAST FIRST
1 s I '�
SCS 41
ADDRESS
OWNER'S E-MAIL ADDRESS
>Jn ro v r -e,-
CI Y L STATE ZIP
461pog, Cd.�� C, 7
PHONE NO.
-71`(6Va 11-7-2-
1-7Z4.
4.ENGINEER'S NAME LAST FIRST
LICENSE NO.
ZA )Q
4o �7
ADDRESS
ENGINEER'S E-MAIL ADDRESS
) :2ul TuST,,,4
CITY STATE ZIP
AviAve, � Gi�
PHONE NO.
1 1 4306lcia
5. CONTRACTOR'S
BUSINESS LICENSE
STATE'LICENGSE
NAME
G1 I (/, /4-7/w S�
�No.C2 0 Class,3
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
2S -z cffis�ux�-&- L'i
CITY STATE ZIP
PHONE NO.
LAIC,- P�Ca- 9 X30
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MIT NO.GSJ� �LJtC�3j v
ECK NO. 1'W6 -76 e J
�E $
pa appl (rev3-04).xls