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Project Address: 1223 S Hickory St <br />Assessor's Parcel: 011-202-09 Lot: 4 <br />Unit: <br />Block: NA <br />' Bldg: <br />Tract: 1676 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />@ City of Santa Ana <br />Permit Counler: C/14) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 <br />lnspection Requests: (7 1 41 67 -27 38 lnspector Section: (71 4) 647-5853 <br />Mechanica I Permit #: 40{ 33{ 53 <br />Pin #: 35075 <br />Owner: <br />Address: <br />Contractor <br />Address: <br />Nellie H Grave8 <br />1223 S Hickory St <br />Santa Ana, CA 927071408 <br />17141547-3592 <br />Greenstar Home Services ln <br />1951 N Main Street <br />Orange, CA 92865 <br />(949) 885-0102 <br />Foo Typs <br />01116002 51604 Furnace <br />01116002 51600 General Plan Update <br />01'l 16002 51604 lssuance <br />Amount <br />65.59 <br />22.O8 <br />55.04 <br />Feo <br />$65.59 <br />$22.08 <br />$55.04 <br />Qty <br />1.00 <br />1.00 <br />1.00Phone <br />Tenant Name: <br />Phone <br />Slate Lic #: 795556 <br />Lic Type: C-36, C-20 <br />Bus. Lic #: 314216 <br />Workers' Compensation lnsurance;Carier: Llberty lnsurance Corp <br />Polic-y #: WA763D50E631018 <br />Expires: 10/01/2019 <br />SFli:;;'ri'T - {"Y"33.', ,, 'fr"T.i <br />[ioTi='ozszzzas - r,riiffi,lfiriit. <br />r ronsuct ion Totol tt+Z.ti <br />Greenstor Hoa€ Services Inc <br />Genercl I <br />01116002- <br />I'lechon ico <br />0l116002- <br />ICL Checl< <br />Ion Updotp <br />5 t 600000- <br />I <br />5160{000- <br />I 19nn <br />t22.08 <br />Itm.63 <br />1112.71 <br />fEe <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning conditions: <br />Planning Approval By <br />Plan Checked By <br />Permit lssued By <br />Subjecl to Field: <br />Building Permit # <br />Single Famlly Dwelling <br />Miscellan6ous <br />Fumace <br />Occupancy: <br />Constr Type <br />Code: <br />R-3 <br />VB <br />cMc 2016 <br />Nolesr Replace furnace <br />Misc. Receipt: <br />Misc. Receipl: <br />Misc. Receipt: <br />Total <br />Amsden, Julie <br />Every pennil issued shall becgtte invalid unless the wo.r( on tho sila <br />aulhodzed by such pemil is cammenced within 180 days afrer its <br />issuanco, ot il lhe wod< authodzed on the site by such permit is suspended <br />ot abandoned for e poiod ol 1 80 days after the time the wo* is <br />ctmmen@d. <br />lnspector MID#: 2019-149261 <br />$22.08 <br />$120.63 <br />Fee Tolal <br />Paid to Dale: <br />Balance Due: <br />$142.71 <br />$0.00 <br />$142.7'.| <br />o2J05t2019 <br />Account# <br />01 1 16002 51600 <br />01 1 16002 51604 <br />'r <br />Date: <br />Datel <br />Date: