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Associated Building Permit# 1-701 -3 17 b F_ Fire Sprinkler Fire Alarm (- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2604 _C res h
Tenant Name # Units F
2. Description of Work
Use
Valuation $ �j OO�J
Extg Sq Ft New/Added Sq Ft � Total Sq Ft
F/New r Add F_ Alter F_ Demo # Stories
Check Appropriate Box for Applicant/Notification
Intormatmon
r 3.Owner's Name Last I^Eo �y ^^2 5 LP
First
Owner's Address
Owners E-mail Address
17�q d 51c ar
Cr 41)
nvir.e G @ Z bL A IIP, Cep
city ttry V
State I CA Zip
626[q Telephone I-3q6-lg6Z
F_ 4. Architect/Designer's Name Last
FirstF_Lic. No. F
Architect/Designees Address
Architect/Designers E-mail Address
City
State F Zip
F__ Telephoned
F_ 5. Engineer's Name Last F
First Lic. No.
Engineer's Address
Engineers E-mail Address
City
State r__— Zip
F_ Telephoned
F/6. Contractor's Name Last
[
First Lic. No. l D!3� 93 Class ) p
Contractors Address
Contractor's E-mail Address
City JhV)W
State F'6? Zip
gj�rJ� Telephone �p�-%Z/�_�i9�Q
OFFICE USE ONLY
PERMIT NO. F 2()ZZ - n (01
TYPE OF CONSTRUCTION
PLAN CHECK NO. �S`iS' ZoZZ
OCCUPANCY - GROUP
PLAN CHECK FEE $