HomeMy Public PortalAbout5452 BALDWIN AVE_Building__ (2) DEPARTMENT tea ON FOR PERMIT
COUNTY yr Luca .
WM. J. Fox. CHIEF ENGINES._ — L D G
IN G
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING) r, :STRICT NO. PLAN CK.NO. PERMIT NO.
ADDREBH::Ii
LOCALITY RECEIVED BY DATE OFAPPL. DATE ISSUED
NEAREST
CROSS ST.
13UILDING
OWNER ADDRESS
MAIL LOCALITY
ADDRESS
NEAREST
TEL. CROSS ST.
CITY NO.
FIRE NO.OP TYPE GROUP
ARCHITECT OR TEL. ZONE •—•- PLANS
ENGINEER NO.
BLDG. ORD.NO.
ADDRESS SETBACK LINE
APPROVED
CONTRACTOR NOL, BY DATE
USE APPROVED
ADDRESS m d ZONE BY DATE
LEGAL — /`, 7. CORRECTIONS
DESCRIPTION LOT NO. BLOCK V
TRACT 44 _
NO.OF SLOGS.
SIZE OF LOT I NOW ON LOT -
USE OF NO.OFNO.OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
A
REPAIR MOVING DEMOLISH O
S4-FT. NO.OF Z
SIZE ROOMS STORIES r
WALL ROOF
COVERING I COVERING
USE OF NEW
BUILDING y f'
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIOPL: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
1' FRAME: FIRE STOPS,
51I3NATURE OF BRACING,BOLTS
PERMITTEE
LATH, INT.
AUTHORIZED AST LATH, EXT.
76A636A-3 2-513 MoFF
,4 - _PLASTER,INT.
-�
�� v' PLASTEP„EXT.
VALUATION Q O•��'"� I FINAL _ i
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