Notice of Completion - Manhole Adjustment, Inc. - 2014-04-24 EXEMPT RECORDING REQUESTED Recorded in Official Records, Orange County
Hugh Nguyen, Clerk-Recorder
PURSUANT TO SECTION 6103, II 0110 II II 11 I I I 1 111 I II I I II II NO FEE
GOVERNMENT CODE
* $ R 0 0 0 6 6 8 5 3 6 4 $ *
AND WHEN RECORDED MAIL TO: 2014000178677 2:04 pm 05108/14
143 422 N12 3
0.00 0.00 0.00 0.00 6.00 0.00 0.00 0.00
NOELANI MIDDENWAY
CLERK OF THE DISTRICT
COSTA MESA SANITARY DISTRICT
628 W. 19TH STREET
COSTA MESA, CA 92627-2716 THIS SPACE FOR RECORDER'S USE ONLY
NOTICE OF COMPLETION C
Not Compared ONFORMED 'COP Y
NOTICE IS HEREBY GIVEN THAT: with inal
1. The undersigned is owner of sewer facilities as hereinafter described.
2. The full name of the undersigned is COSTA MESA SANITARY DISTRICT.
3. The full address of the undersigned is 628 W. 19th Street, Costa Mesa, CA 92627-2718.
4. The nature of the title of the undersigned is owner of sanitary sewer main line facilities subject to
the following project:
CMSD MANHOLE AJUSTMENT IN CONJUNCTION WITH STREET IMPROVEMENT WORK BY
ORANGE COUNTY PUBLIC WORKS #ER20407
5. The full names and full addresses of all persons, if any, who hold title with the undersigned as joint
tenants or as tenants in common are:
•
None
6. The names of the predecessors in interest of the undersigned if the property was transferred
subsequent to the commencement of the work of improvement herein referred to:
None
7. A work of improvement on the property hereinafter described was completed on or around
April 10, 2014.
•
8. The name of the contractor, if any, for such work of improvement was:
Manhole Adjustment, Inc.
9. The property of which said work of improvement was completed is in the County of Orange,
State of California, and is described as follows:
Irvine Avenue and various nearby streets
10. The street address of said property is:
Irvine Avenue and various nearby streets
DATED this 21 day of 4174/ 2014.
COSTA MESA SANITARY DISTRICT
rte/A_ '. _�
J f ES M. FE' ' • , PRESIDENT
ATTEST:
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ARTHUR R. PERRY, SECRETA Y
STATE OF CALIFORNIA)
COUNTY OF ORANGE )SS
CITY OF COSTA MESA )
The undersigned, being duly sworn says: That he is the President of the Costa Mesa Sanitary District; that
he has read the foregoing instrument and knows the content thereof, and that the facts stated therein are
true, and that he makes this certification by authorization granted by the Board of Directors of the Costa
Mesa Sanitary District.
0-717 JAMES M. FERRY AN