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STREET ADDRESS SUITE
<br />70, Icr nl
<br />RECEIPT NO
<br />nllll'
<br />DATE
<br />114. 7
<br />PROJECT 1 • n
<br />CITY STATE
<br />Et FIP-:
<br />TRACT NAM(
<br />USE OF PERMIT /APPLICATION
<br />.'{ 1.1 1lTLA Cr.rII " Pr
<br />APN 1r
<br />ti l 0 fi'•II'•I
<br />BLOC'S UNITS
<br />III '
<br />STORIES
<br />OCCUPANT NAME
<br />•
<br />y: .I /•17 1 7, I.1 Ii 1Hr
<br />MAP II
<br />BLOCK LOT
<br />MOD 1
<br />1'110.
<br />APPLICANT NAME
<br />1 1 1 0 1 1 199 ' . , I I ' 1 I ' n ' I n )l (l ( I1 11
<br />APPLICANT PHONE
<br />a I ' •17 1460
<br />717,1 L1 II IY ) - 1 11 It !
<br />PUILO1N 0cr t' 49
<br />CONTRACTOR
<br />I -,IRH F LIU °Plr 1 r r(1Ip1Fr , Tr
<br />STATE LICENSE
<br />STREET ADDRESS SUITE
<br />r _' n EI' I' n r-p 11n1_ 1111
<br />CITY LICENSE
<br />L I 1 r I T IF' Wilt I'r • 1 4 . . 1111
<br />CI F LTP I'(ti Pcl E ; nr-. 0(1
<br />•
<br />CITY STATE ZIP
<br />,,
<br />1" F.r,/..II '111 :inc.,. On I
<br />CONTRACTOR PHONE
<br />ni ' u7 146.11
<br />711 T 11(1111. (1! T ' r f T 111
<br />PI IINF .le 0,., f' . On
<br />HI I,, rn^r !' 1 ,I, UP
<br />•. F1.IFP [II ' i ".� 91
<br />' '
<br />- -
<br />BLDG O W Nut
<br />1I /I'1 MIIJ ° II I II: 1 1PFnPr, I FU
<br />STREET ADDRESS SURE
<br />/Illir 1'711, 1 I'
<br />I I I_ T ../ 1
<br />L]1111.1" NE' (t11 Pe' 11 40
<br />1J11111'^ ` _I • I. T a • .t•1
<br />CITY STATE ZIP
<br />r.'- I l 1 . 11 e 4 •. 1 9 11 01
<br />OWNER PHONE
<br />41 ' N / 14
<br />ZONING
<br />t'I111 "lil'1 P
<br />GENPLAN
<br />TR5
<br />PUD
<br />LOT SIZE F/A
<br />II,. I - }IF 1.1•
<br />GEMS TRACT
<br />,' or (I
<br />51C
<br />CFIRS
<br />G10 REF
<br />FSB
<br />LSB
<br />R58
<br />858
<br />PLANNING INT
<br />ENGINEERING INT
<br />PLANS RECEIVED INT
<br />PFD BYi 1. 10 0 pl -
<br />FEES ? 9'1
<br />19 1 I 1 1 1 F I - 1 .-
<br />P i' 11 1 r C T ( " 11 M r r i I >
<br />lIa1r 1l el'l l I meat l,jn'ment
<br />91 -11 111 01111 I•1NC SEF. Prcru.LIT int - " 1 II f: FEES IJn1/iFII
<br />a ., -;' .In I1111'!'1 tIG
<br />110. 01 pl l 11 It tlf; '` , ,Dr, N('1 r 1161' PFPMIT 1111111 F11'1 T 1 it 1.'1 I!1. rd +F - r' ID
<br />116 r ' PP PIPPING PI en Pr I,I 1 -r r >1 E'. nl
<br />01111 DWI.
<br />r 1 0
<br />•11. 111.11 JI'I' 1,- .' 011 1.,'1 •.
<br />n, 4, 1 r 7r. 111111 p,
<br />En.I111I /111 I ,' I C l/1 1 191 T9 - - .6 II 9 11.9 Ir.• 14rI.
<br />' F c. i• r c r l I IP • I I•p8- 1p7 .2 I MA': I a' 1' /n 11 1 R. / 22 ii on - 011tH r+'r•
<br />' p 1 rlrlr, - rpnr 0 nrC npnp - r P 11 1110
<br />11 Cnu Fr'' 0 ?.40
<br />' Freitln r !Pi l r 7,.'T 61,111 -PI • H1111E r1 • 1 HI
<br />6122 '. 11 11 I - nn 1 61 . 94119 t r
<br />1°-. 04,.li,mt snn .1111OrLIp'lllr'• • •
<br />•10' 1111' 041 11 11 ° '1 1 -L' 'I
<br />(i,n 'Per i F-'' 4 � .00
<br />II ISELLL/0E-OLIS CAP TAL. I 9 -'927,. 00 rile : Fr^ 4 — .", (1 11
<br />ILECTR ICAI_ ■ .. TO'nt. if F 0 06. 09
<br />\ V' 1 1 - J / (tpp)/Permit Fee. 196.00
<br />, "P" tkr '_ ,, / Proceeafno Fee 10.00 I1ECHfNICAL -% - r r0T41. FFF 1 - re. 00
<br />(lppl.'Pe rnllt F - 168.011
<br />Prnceeclnu Fee 10.00
<br />'L.UNf3I tIC '._-1 t / TOTAL FEF 01 4 .0 11
<br />- nnPI 'Fer MI FPM 2 24.00
<br />1'roernasnts F rr 1il.E111
<br />'. Y = =.n 1 III lc, 1 I" 1111(11 FE1 11:" In/
<br />I IOp I' PRt 1.11. Frr- II,` 1111
<br />'II SCF11 riur,r' IC PFf11>O0M9 0 1' 00 til -1 r.• 11 "r.. 0
<br />'PUTT FR - 111'Y Fnf> 111 CI; / r .R1
<br />1.31 F, Fer t '•'. 1 'Orr.L Surr I. fit 1.: •
<br />11S [11W' TPII T - 111111 FE c V•On. 911
<br />F•I Fr ''60!1.011
<br />111 WEI. 1 ((AEONS
<br />(IURNE PESDNT
<br />1 �
<br />Tbronpetntit lb'.heteby issugd under the applicable provIslo�t4% HIVeity� a
<br />Pleasanton Code and /or resolutlon to do work lndicoted below for which
<br />feesIrc been ppsd. / /
<br />BY. / Cf /1{7(46. Dor - • 2 J F' y
<br />/ILII
<br />l Rev 5, F Fen ;t 1 . 40
<br />PERMIT PXPIRE$.' 11111 It 11' 11 Lit IIEui r ?1'
<br />APPHCM4 W ?7 -
<br />011111a1PVItnan MCl.WTO
<br />o.. .� a ■••••••
<br />naalUCM= OC�,CTTT�1�OC Amin ,AnhlO a+••4.4.44.w nr-uwm
<br />-tea _" ���w _....._•:.-.: r.= .o...a.o•.o.r,.;.Ad�.....r..
<br />PLANNING STREETS
<br />847 -8029 847
<br />ENGINEERING WATER
<br />847-8041 847 -8071
<br />p�..r.....— �.•.nl.nP+
<br />al Ityy WI. III
<br />ad v
<br />CONTRUCIAN 0•43. 0105
<br />CITY OF PLEASANTON
<br />P.O. BOX 520 • PLEASANTON, CALIFORNIA 94566 -0802
<br />W0 tRl COYMNYTIM DECLAIM/10A
<br />PUBLIC WORKS BUILDING INSPECTION
<br />847 -8195 14151847 • 0154 847-8149
<br />TIRE IOBlcel (Recorder)
<br />847 -6114
<br />
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