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20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2l)16,4733 <br />Pin #: 27lJ75 <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />ProjectAddress: 210 fl2 N Jackson St <br />Assessor'sParcel: 198-241-13 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: 1181 <br />Address Range; <br />Historic: No <br />O\,vner: <br />Address: <br />Phone: <br />Tenant Name: <br />Conlraclor <br />Address: <br />Olivia & Jose Palacios <br />210 N. Jackson Street <br />Santa Ana, CA 92703 <br />(4421 284-9928 <br />Fee Type <br />01116002 51603 Serv Meter <br />011'16002 51600 General Plan Update <br />01116002 51603 lssuance <br />Amount <br />51 .29 <br />21 .25 <br />52.98 <br />Fse <br />$51.29 <br />$21.25 <br />$52.98 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />Owner-Builder <br />Phone <br />Slate Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expiresi <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Ouplex <br />Miscellaneous <br />Service Meter upgrade <br />Chavez, Dave V4 11130t2017 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Occupancy: <br />Conslr Type <br />Code: <br />R.3, U <br />VB <br />cEc 2016 Notes Service meter upgrade. Handout given <br />Owner-Builder torm on file. <br />Dale: <br />Date: <br />Date: <br />$125 52 <br />$0.00 <br />s125.52 <br />Every permit issued shall becorne invalid unless the wo* on the site <br />aulhonzed by such pennit is commonced within 180 days aftet its <br />$suance, ot iflhe wo* duthotized on the sile by such pomit $ suspended <br />ot abandoned for a ponod of 180 days after the timo the work ts <br />cofifienced <br />lnspector MID#: 2O17-14O22O <br />01 1 16002 51600 <br />01 1 16002 51603 <br />$21.25 <br />$104.27 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Lot: 15 <br />Suite Range: <br />Zoning: R2 <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Euilding Permit #: