' - 5 /" .ict) 545-- 9-/9 4 CITY OF PACIFIC GROVE No 89- 092< 1 -T APPLICATION FOR BUILDING PERMIT ASSESSOR'S NO. <- 12-6- /7 - : 8 Applicant to complete numbered Epices only. Jo• ADO•Ell c.9 6.652:>.1 joL ..ACT .LEGAL C]••• ATT•C••• ••••, 10..... 0.... MAIL ADD.... *" 173 7=-D P.ON. 2 -Gm 4 6,14 14*44- 64A ll:tl:2- 175- 9431 9% 5290 CO.V.ACTOR ..1. -0.... .„ONE . 61..... .0. 3 704 ICOW\. I 4233?0 .......... ..0.E .C.....0 h r . 4 .tvt Brai, 6,'A,6,&21£,1 ...1.1.. 1 ..1........ ..0.. L...... NO. t...... .All •DOAE'I -ACN 6 U1 0/ #.0NG 6.# . 1 7 1 F it· v 8 Class of work: O NEW yrADDITION O ALTERATI0N O REPAIR O M0VE O REM0VE 9Describework:ie,Actithpi,,#141l,rb-CoolnG.,f6.Mtijikni(c/ R (-,L A £ f E,c- e(.g l>*14 10 Chanle ol use from Change of uw to '0 U Volt,ition of work: $ 21.930 - _ PLAN CHECM FEE S 4 PERMIT FEE ,SPECIAL CONDITIONS. Tygo Of Occupincy Conit V - Du q,oue 01.1.10. w 51,0 01 81,10. ¥ 2 40 No 01 1 M.,t C Titan Sq. Ft Stories 1 Occ. Load 6,1 C, APPI.ILATIONACCP'TED"V PLANS CHECKED 0 v APPROVED 0OR ISSUANCI OV L-5- ./144.) NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCE0 WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIO0 OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE. AUTHORIU.. TO_ VIOLATE OR CANCEL THE PROVtSIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIONAIURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) N--. 5.- 11 -91 SIGNATURE OF OWNER (IF OW ILDER) (DATE) Flf. Zone , No of Dwomn, Un,ti Special Approvals ZONING HEALTH DEPT. FIRE DEPT. SOIL REPORT VARIANCE NO. ARCHITECTURAL APPROVAL NO. USE PERMIT NO. COASTAL ENGINEERING ER U Use Fire S/,inklers Zone R.Qui,ed [.]Ve, 8-NS OFFSTREET PARKING SPACES· t, 5 r Uncove,ect Requi,ed Receivod N¥ Riquired t. 490 MI.0 V 21 15 ··79 t/,01 J f , 1/W.' .Lk.· z J. Icv HC 17* F ,98< r.£06:P: 1 6.402 2W'.LJ.,441.-:.1 joL ..ACT .LEGAL C]••• ATT•C••• ••••, 10..... 0.... MAIL ADD.... *" 173 7=-D P.ON. 2 -Gm 4 6,14 14*44- 64A ll:tl:2- 175- 9431 9% 5290 CO.V.ACTOR ..1. -0.... .„ONE . 61..... .0. 3 704 ICOW\. I 4233?0 .......... ..0.E .C.....0 h r . 4 .tvt Brai, 6,'A,6,&21£,1 ...1.1.. 1 ..1........ ..0.. L...... NO. t...... .All •DOAE'I -ACN 6 U1 0/ #.0NG 6.# . 1 7 1 F it· v 8 Class of work: O NEW yrADDITION O ALTERATI0N O REPAIR O M0VE O REM0VE 9Describework:ie,Actithpi,,#141l,rb-CoolnG.,f6.Mtijikni(c/ R (-,L A £ f E,c- e(.g l>*14 10 Chanle ol use from Change of uw to '0 U Volt,ition of work: $ 21.930 - _ PLAN CHECM FEE S 4 PERMIT FEE ,SPECIAL CONDITIONS. Tygo Of Occupincy Conit V - Du q,oue 01.1.10. w 51,0 01 81,10. ¥ 2 40 No 01 1 M.,t C Titan Sq. Ft Stories 1 Occ. Load 6,1 C, APPI.ILATIONACCP'TED"V PLANS CHECKED 0 v APPROVED 0OR ISSUANCI OV L-5- ./144.) NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCE0 WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIO0 OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE. AUTHORIU.. TO_ VIOLATE OR CANCEL THE PROVtSIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIONAIURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) N--. 5.- 11 -91 SIGNATURE OF OWNER (IF OW ILDER) (DATE) Flf. Zone , No of Dwomn, Un,ti Special Approvals ZONING HEALTH DEPT. FIRE DEPT. SOIL REPORT VARIANCE NO. ARCHITECTURAL APPROVAL NO. USE PERMIT NO. COASTAL ENGINEERING ER U Use Fire S/,inklers Zone R.Qui,ed [.]Ve, 8-NS OFFSTREET PARKING SPACES· t, 5 r Uncove,ect Requi,ed Receivod N¥ Riquired t. 490 MI.0 V 21 15 ··79 t/,01 J f , 1/W.' .Lk.· z J. Icv HC 17* F ,98< r.£06:P: 1 6.402 2W'.LJ.,441.-: