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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA g27oz Electr <br />Permit Counler: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853 <br />ical t <br />'r/ <br />Permit #: 2O169305 <br />Pin #: 8,0223 <br />Project Address:Bldg Address Range Suite Range: <br />ZoningAssessor'sParcel 010-231-08 Lot Tracl HENINGER'S FouRnirslonc No <br />Owner: <br />Address <br />Thuy Nguyen <br />930 S Birch St <br />Santa Ana, cA 92701 <br />(657) 296-8009 <br />Fee Type <br />01116002 51603 Serv Meler <br />0'1116002 51600 General Plan Update <br />011 16002 51603 lssuance <br />Amount <br />55 37 <br />22 95 <br />57 20 <br />Qty <br />'1.00 <br />1.00 <br />1.00 <br />Foe <br />$55 37 <br />$22.95 <br />$57 20Phone: <br />Tenant Name <br />Contractor <br />Address: <br />Owner-Builder <br />Phone <br />State Lic : <br />Lic Type: <br />8us. Lic #: <br />Workers' Compensalion lnsurance <br />Carrier: <br />Policy #: <br />Expires:I <br />Puilding Use. <br />Jbb Type <br />Nature ol Work <br />Single Family Dwelling <br />New <br />Service Meter <br />Occupancy: <br />Constr Type <br />Code: <br />R.3, U <br />V B, SPK <br />cEc 2016 <br />Notes: Servlce meter re-location from 930 S. Birch to new site <br />Owner-authorization form on file. <br />Planning Approval By <br />Plan Checked By. <br />Permit lssued By: <br />Sub,ect to Field <br />Building Permit #: <br />Chavez. Dave <br />Y-4' <br />10199757 <br />Date <br />Date <br />Dale 07,30/20r9 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every perm $suod shall bocofie invahc! unless lhe work on lhe s,le <br />aulhonzed by such pem 6 commencad wtthin 3@ days aftel tts <br />lssuance. o, tthe wofu authonzed on the stte by such pemi ts susponded <br />or abanaloned lor a poriod ol 3@ days ahor the hme lhe wo* is <br />commencecl <br />$135 52 <br />50 00 <br />$135.52 <br />lnspector MID#: 20'19-1 501 14 <br />01 1 16002 51600 <br />01 116002 51603 <br />$22.95 <br />$112 57 <br />Fee Total: <br />Paid lo Date <br />Balance Due: <br />Unit. <br />Block: L <br />Planning Conditions: