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STREET ADDRI. SS SUITE <br />rt1, ,cF L 11 <br />RECEIPT NO. DATE <br />001170 -4 116 -'.' yF <br />PROJECT <br />11010212': <br />CITY STATE <br />F14.. 1111 rr1. <br />TRACT NAME <br />p1.' <br />USE GE PERMIT /APPLICATION <br />rcp::d' In, - '11 roll!11')4 f- 1 1-1,14.1111u1- 4.l ° . 1 ' (III -SI R op <br />APN BLOGS -UNITS STORIES <br />O94- I1 1C:R- 011001 11 1 Ill! <br />OCCUPANT NAME <br />1 .11 1 ' , 1.••l -1. I'rIr -I. <br />MAP 6 BLOCK LOT MOD <br />l., 14 I1 <br />APPLICANT NAME <br />F 11F11 HI s IC.IIIT, 11'Irli9Plq! n <br />APPLICANT PHONE <br />Al" ':H? :150-! <br />CONTRACTOR <br />STATE LICENSE <br />Mh1.HRI IILAL Per <br />ON SITE Pr <br />4191.'1 <br />615. <br />STREET ADDRESS SUITE <br />CITY LICENSE <br />1111 - 61 IF Pn r <br />()WWI F PF'SDNTI F't <br />S 1 U , e;. 2 U .III <br />11 . ° • <br />CITY STATE ZIP <br />CONTRACTOR PHONE <br />QUAKE PESDINI FT.. <br />BLDG OWNER <br />STREE1 ADDRESS SUITE <br />CITY STATE ZIP <br />OWNER PHONE <br />ZONING <br />GEN PLAN <br />IRS <br />PUD <br />LOT SIZF[EA <br />ACT <br />CEN BSBB P1 AN <br />4- • 1 i,lnr <br />COP Ili 11. <br />HE I (Ne r o .• <br />HUL1'-1rrt, <br />SIC <br />G INT LNGINEERING <br />G. INT <br />PPIIU <br />Factor <br />.. .:, <br />Val -. <br />Val <br />PLANS RECEIVED INT <br />PAID BY II EES <br />FSB I LSB RSB <br />IIISI 1I ('IF:1UIP, <br />I 1 Er 1flC- ( <br />HUM 1 N1 <br />IFnG CIr1 ST Tv <br />Iil 1 1 (. !EI) <br />ELIEI C1 Fi '-NR <br />Il' r1:;P IPIISI <br />r11HE ' r IF11 <br />!tA1F: CI'IINEI. T <br />1 1 1 - <br />t inrFl 471 IEP <br />- <br />I 1 1 <br />1E0 HP I J <br />11 u t IE <br />ql - ': FE <br />'1. (1 1111 <br />I iUfa'r PF` Dll l l_ <br />0111I <1 PE 4DNTL <br />IlfLll rI ?11 <br />IEIUEI. FPIlN <br />In 10 <br />' <br />-. 1- <br />•.1 ' <br />Gel Eq' <br />IF to 1 <br />j <br />5l NI <br />is <br />.' 3 <br />Cu' rant <br />Currant <br />-i P E •• <br />525.00 rl t ,c. t -0 <br />!OTflL FEE <br />Appl /Per's t Fen <br />PPr':cenn L 13 Fc.Cl <br />rornl. FEE <br />nop1. crI 1'• - <br />Pr,,c e TOlof flE <br />.. . <br />npp 1 '1) 471 I ,.3 <br />125.00 r1LO. r -. <br />` TOIAL FIE <br />1460Sewer Surcllar 11, <br />1. T(1101 rrE <br />. n0r "Per out F.. <br />400.00 10 111 L f - E <br />- <br />j Apo t -'Pr.1 in1t Fr LA <br />� ..i <br />10TH(_ FEE <br />Apnl'Pe r,111t Fr. <br />TOlrnl rtE <br />Appf ;I 'Poe 1vtt Fret <br />Pr.1r_n'•. v „1 I ' <br />Pl :n $75, •1uo F - <br />rnr,:q. NE <br />Ap p 1 'Per 1.n 1 1 F e <br />1115000 41 1 ,It,,t lal: I <br />TOTAL FEE <br />Ap l /Pnrmlt Fee <br />438345 Valuation F-.r <br />APPLICANT <br />(.250.1111 <br />223.16 <br />213.l- <br />10.00 <br />2F1.61 <br />241.61 <br />1r,00.�H <br />1' 00. II 11 <br />1G no. 0U <br />295.4A <br />3295.4e. <br />4000.00 <br />4000.11!l <br />'400.00 <br />74 <br />11320.00 <br />1200.011 <br />1200.00 <br />1200.00 <br />192. '(. <br />182.'1 <br />10. 470 <br />IF?80.Of <br />10520. (10 <br />1 0c2 0. nu <br />29.26 <br />29.26 <br />29.2r <br />CR <br />PLANNING STREETS <br />847-8043 847 -8066 <br />ENGINEERING WATER <br />847-8041 <br />841 8011 <br />CITY OF PLEASANTON <br />P.O. BOX 520 • PLEASANTON. CALIFORNIA 94566 -0802 <br />WORKER. Conarunnl rcaAn.Tmn <br />LIB..... o...� +. <br />PUBLIG WORKS <br />847.8195 <br />FIRE <br />84) 8114 <br />BUILDING INSPECTION <br />(415(847-8015 • (415) 847 -8149 <br />(Office) (Recorder) <br />