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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#: 3O117876 <br />lnspector's Section: (714) 647-5853A <br />Project Address: 2522 N Jacaranda St Suite: <br />Block: NAAssessor'sParcel: 396-372-11 Lot: 11 <br />Bldg: <br />l.acl:7287 <br />Address Range: 2522-2524 <br />Historic: No <br />Suite Range: <br />Zoning: R2 <br />Owner: <br />Address <br />Contractor: <br />Address: <br />Phone <br />Tenant Name <br />Susan Dulaney <br />2522 N Jacaranda St <br />Santa Ana, CA 927056943 <br />(714) 633.{856 <br />Appliance lnstallers lnc. <br />3823 lndustry Av <br />Lakewood, CA 907'12 <br />(s62) 5954500 <br />Fee Type <br />Dishwasher <br />lssuance <br />Notes: Change out. Mail-in permit. <br />Amount <br />31.00 <br />Fee <br />$7.75 <br />$31.00 <br />Qty <br />1.00 <br />'1.00 <br />EX fr <br />State Lic #: 594282 <br />Lic Type: C-36 <br />Bus. Lic #: 0161261 <br />Workers' Compensation lnsuranceCarrier: StatE Fund <br />Policy #: 1739711-2001 <br />Expires: 09/01/2005 <br />Building Use: <br />Type of Work: <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Duplex <br />Miscellaneous <br />Dishwasher <br />Occupancy: <br />Constr Type <br />Code: <br />R3 <br />VN <br />cPc 2001 <br />Amsden, Julie 06/02/2005 <br />Building Permit # <br />This pemit shall expire by limitation and become null and void if the wo* authoized by this pomit <br />is not commenced within 180 days from the date of this pemit, or if the wod< authorized by this <br />pemit is suspended or abandoned at any time after the wotk is commenced for I peiod ol 180 days. <br />Before such wod< can bo recommenced, a new pemit shall be lirst obtained to do so. <br />Date <br />Date <br />Date <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />$38.75 <br />$0.00 <br />$38,75 <br />Account #: 01 1-01-5912 lnspector <br />/$m.\ <br />li44h? <br />#+*{ts <br />Phone: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: