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City of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Electrical Permit #: 2O37O27O <br />Pin #: 43445Permit Counter: (714) 647-5800 lnspection Requests (714) 667-2738 lnspector Section: (714) 647-5853 fx4 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: 1265 <br />Address Range: 1415-.1439 <br />Historic: No <br />Suile Range: <br />Zoning: R3Assessor'sParcel: 013-174-27 Lot: 28-36 <br />Owner: <br />Address: <br />Sariah Deveroaux <br />1010 E Chestnut Avenue <br />Orange, CA 92867 <br />(714) 656-6688 <br />Sariah's State Farm Agency <br />01116002 <br />01116002 <br />01116002 <br />01 1 16002 <br />01'116002 <br />51603 <br />51603 <br />51600 <br />51603 <br />57770 <br />Foe Type <br />Light Fixtures <br />Min Fee Adj <br />General Plan Update <br />lssuance <br />lvlicrofilm Records <br />Amount <br />1.09 <br />2't .39 <br />22.95 <br />57 .20 <br />3.91 <br />Qry <br />39.00 <br />1 .00 <br />100 <br />1 .00 <br />'1 .00 <br />Fee <br />$42.51 <br />$21 .39 <br />$22.95 <br />$57.20 <br />$3.91 <br />Phone. <br />Tenant Name: <br />Contractor <br />Addressl <br />Owner-Builder <br />Phone <br />State Lic *: <br />Lic Type: <br />Bus. Llc #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policl r: <br />Expires: <br />Bualding Use: <br />Job Type: <br />Nature of Work <br />Commercial <br />Miscellaneous <br />Lights <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />VB <br />cEc 2016 <br />Notes Per Notice To Correct. New lights <br />Planning Approval By <br />Plan Checked Byr <br />Permit lssued By: <br />Subject to Field: <br />owskr,Teri 11t2512019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Burlding Permil #$22 95 <br />$121 .10 <br />$3.91 <br />$147 96 <br />$0.00 <br />$147.96 <br />Every potmit issuad shall velic! unless lhe work on the stle <br />aulhorized by such pemit is commenced within360 days alter its <br />6suance. ot it the wo* authotized on the sito by such petnit is suspended <br />o. abandonecl lot a penod o1360 days after tho lme the wo* ts <br />comnonc:ecl . <br />lnspector MID#: 2019-155822 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />01116002 57770 <br />Fee Total: <br />Paid to Dalel <br />Balance Due <br />ProiectAcfdress: 1417 S Broadwav <br />Irqosa':t ron Ioio <br />li(lr r olr 0ever'eoux <br />Date: <br />Date: <br />Date: <br />U.JUULI <br />oc olle <br />7lr-rtrrr <br />J'! I <br />Planning Conditions: All interior work. No exterior alterations or modifications.