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CITY OF SANTA ANA <br />SOLAR PERi'IT APPLICATION WORKSHEET l,olvoq-sb <br />RI T <br />so',*u /f,1f qq nPRoJECT ADDRES s &OA h/ Poplar S-}- <br />USE OF BUILDING <br />MASTER ID# <br />COMMERCIAL INDUSTRIAL OTHER <br />SOLAR WATER HEATING/COLLECTOR SYSTEM OTHERNATURE OF WORK <br />Am <br />JOB DESCRIPTION : <br />q( <br />NUiIBER OF PANELS lb .".r=r.*o' 3€P. 'j.-7 <br />eduardOlntu<BUILDING OWNER'S NAME <br />''ha7oaSTATE/l+"''fui/a Artarleooaess'26).?o/ar Y <br />PHONE NOTENANT'S NAME (Comm/lnd) <br />PHONE NO <br />N4,X9SqSS1l( <br />STATE CONTR, #: <br />raQ/?1coNrRAcroR's N o"'F<? ( o t \ r ad nq <br />?"2?+"'W^dok*\,roth_eoonESS: <br />TorP t sr/q nou Au(fr L <br />SANTA ANA BUS, LIC. #:INSURANCE COMPANY: <br />A?0,, t <br />EXP DATE:t/trll*WORKERS COMP. POLICY#:elglt* <br />PHONE NO: <br />Slo.aul#1 <br />STATE LICENSE # <br />csB72L,tARcHrrEcr/ENGrEEih Ll /harhrl <br />ztP:q)SoqSTATE:C&'lo//ufP-ITYc^'*'{, i, of s* +aoo <br />*.no' bo)-Xonl3coNrAcr l{AmE: -l ordotl $; etz <br />OCC GROUP <br />BLDG FEE $ <br />P/C FEE PD $ <br />TYPE OF CONSTR:VALUATION SUBMITTAL DATE <br />PROCESSED <br />PLANNING OK TO CHECK & OATE <br />PLNG CONDITIONS: <br />FLOOD ZONE <br />BLDG, DEPT APPROVAL & DATE <br />SUITE: <br />PHONE NO. <br />LICENSE CLASS <br />'*.rdanA