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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 <br />Plumbing permit #: 30119.217 <br />lnspector's Section: (714) 647-5853 <br />Owner: <br />Address <br />Cory Nelson <br />9ll NOliveSt <br />Santa Ana, CA 927032331 <br />17't4l543-787s <br />Fee Typo <br />Water Closet <br />Bathtub <br />Shower <br />Sink <br />Sewer Alter/Repair <br />Hose Bibb <br />lssuanca <br />Amount <br />8.15 <br />8.15 <br />8.15 <br />8.15 <br />16.00 <br />8.r5 <br />32,50 <br />Qty <br />1.00 <br />1 .00 <br />1 .00 <br />1.00 <br />1 .00 <br />1 .00 <br />1 .00 <br />Foe <br />$8.15 <br />$8.15 <br />$8.15 <br />$8.15 <br />$ 16.00 <br />$8.15 <br />$32.50 <br />Phone: <br />Tgnant Name: <br />Contraclor: <br />Address: <br />Owner-Builder <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation Insurance <br />Carrier: <br />Policy #: <br />Expires: <br />Eotch+:985 - 03/21/06 I0: CKELLI <br />otf ice: CTYH Tnonsi: 33 <br />Acc!+: Refi: 30119217 <br />Rcptf:00007069 - 3/2r/2006 10!17 Atl <br />Tronsoct ion Totol tS9.2: <br />Cory t{elson <br />Building Use: <br />Job Type: <br />Nature of Work <br />Single Family Dwelling <br />Addition <br />Addition <br />Occupancy: <br />Constr Type <br />Code:Notes <br />Plurb ine <br />Check <br />i89. ?5 <br />t717.45 <br />Planning Conditions: <br />Planning Approval By Date: <br />Date: <br />Date: <br />Misc. Receipt <br />l\4isc. Receipt <br />Misc. Receipt <br />Plan Checked Bya <br />Permit lssued By\ <br />Subject to Field:n <br />Amsden, Julae 03t21t2006 <br />Buildang Permil #:clq 8r\q5 Fee Total: <br />Paid to Date: <br />Balance Due <br />$89.25 <br />$0.00 <br />$89.25 <br />This petmit shall expirc by limitation and become null and void if the wotu authoized by this permit <br />is not commenced within 180 days from the date ol this pemit, or if the wotu authorized by this <br />pemit is suspended or abandoned at any time aftor the wot* is commenced for a peiod of 180 days. <br />Before such wor* can be recommenced, a new pomit shall be lirst obtained to do so. <br />Account #: 01 1-01-5912 lnspector MID#: 2005-60524 <br />'(mP*R <br />Project Address: 91 I N olive St suite: Blds: Address Ranse: suite Ranse: <br />Assesso/s Parcel: 405-183-28 Lol: l9 Block: NA Tracl: 455 Historic: No Zoning: R'l <br />R-3/U-l <br />v-N <br />cPc 2001