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Get CA Form 66-59 2004-2024

Ructural Zip Code: Grid No.: Residential Building Commercial Electrical* Commercial Mechanical* APPLICANT INFORMATION Applicant/ Co. Name: Address: * REQUIRES TAKE-OFFS PROJECT INFORMATION Description of work: Related Case No(s).: City: Zip: Occupancy Group(s): Construction Type: Phone No.: Ext.: Occupancy: Current: Proposed: Contact : Current Use: Fax No.: Valuation: Property Owner: Sprinklers: Proposed Use: Number of stories: Yes Address: No A/C: Yes No EXISTING BUILD.

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