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City of Santa Ana 20 Civic Center Plaza (M-19), Santa' Ana, cA 927ct2 \Electrical Permit #: 2O17O31O <br />Pin #: 23335Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853 w <br />Project Address: 21'17 N Louise St Unit: <br />Block NA <br />Bldg: <br />Tract: 3205 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning; R1Assessor'sParcel 001-114-12 Lot: 14 <br />Ovrner <br />Address: <br />PATRICIA BAEZA <br />2117 N LOUTSE ST <br />Santa Ana, CA 927063,1,!f <br />(714) 830-9835 <br />Foe Type <br />01116002 51603 Serv Meler <br />01116002 51600 General Plan Update <br />01116002 51603 lssuance <br />011 16002 57770 Microfllm Records <br />Amount <br />22.95 <br />57.20 <br />3.91 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Foe <br />$5s 37 <br />$22.95 <br />$57.20 <br />$3.91 <br />Phone <br />Tenant Name: <br />Conlractor <br />Address: <br />Owner-Builder <br />Phone <br />Botch+:13231 - l? <br />Off icP: GTYH Tr <br />Accti: <br />Rcp ti:0?827191 <br />Tronsact ion Totol al--o <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #; <br />Expires: <br />PATRICIA P,AEZA <br />GenerRl Plon [.lpdotr <br />01116002- l16tr0tr:rrr- <br />Electr icol(t1l16002- t1603('00- <br />i icrof i lr & Docurer <br />011 16002- 5777t:itr!(r- <br />(:a sh <br />ChcnseBuilding Use: <br />Job Type: <br />Nature of Work <br />Single Family Dwelling <br />Miscellaneous <br />Service meter <br />Occupancy: <br />Constr Type <br />Code: <br />R.3, U <br />VB <br />cEc 20'16 <br />Planning Conditions: <br />Planning Approval By:Misc. Receipt: <br />Misc. Receipl: <br />Misc. Receipt: <br />Total <br />Plan Checked By <br />Permit lssued By <br />Subject to Field: <br />Amsden. Julie 1UOA2019 <br />Account# <br />Building Permit #$22.95 <br />$112.57 <br />$3.91 <br />$ 139.43 <br />$0.00 <br />i139.43 <br />Ewry pemit issued shall become nvahd unless the wotk on tho silo <br />authonzed by such permil/s commoncecl withn 360 days aftet its <br />issuance, ot il the wod< aulhofized on the site by such permit is suspended <br />o. abandoned for a poiod ol,360 days aftet tho ttfie the wo* ts <br />comfienced <br />lnspector MtD#. 2019-156223 <br />01116002 51600 <br />0'11 16002 s1603 <br />01116002 57770 <br />Fee Total <br />Paid to Date: <br />Balance Due <br />Notes: Upgrade meter - handout given. <br />l.? cr; <br />n <br />Dater <br />Date: <br />Date: