HomeMy Public PortalAbout9042 ACASO DR_Building_8/5/1947_75565 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT '
COUNTY OF LOS ANGELES ® �
WM. a1. FOX, CHIEF ENGINEER
.� NG
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN
DISTRICT NC.�- PLAN CK.NO. PERMIT NO.
UILDINADDRESSG / d JP ®� 76 6Z6
LOCALITY ' RECEIVED BY k:T212
DATE SSUED
NEAREST \ 6—?�
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BUILDING
OWNE ��- .ADDRESS
ADDRESS A -LOCALITYq/
ITY NONEAREST
L CROSS ST. / /t//�/��.
FIRE NO OF TYPE OROU
ARCHITECT OR TEL. ZONE PLANE
ENGINEER NO.
BLDG. ^ 'ORRD.NO.
ADDRESS SETBACK LINE �./� / OR/. ' � r'
TEL. APPROVED
CONTRACTOR -lp NO. BY DATE
USE APPROVED
ADDRESS / I ZONE BY DATE
LEGAL
DESCRIPTION I LOT N �gF BLOCK CORJ/R�E/CTIONSp�
TRACT--A--2..---
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jv A74 0'
NO OF BLOBS
SIZE OF LOT % NOW ON LOT,
USE OFr NO OF NO OF [ L «S
EXISTING BLDG �{ FAMILIES ROOMS
DESCRIPTION OF WORK
NEW _ -k ALTERATION ADDITION
O
REPAIR I MOVING DEMOLISH
A
8q O
FT. NO OF Z
SIZE ( / ROOMS STORIES y
WALL RO Fr
COVERIN OVERING�
USE OF NEW
BUILDINGlop-
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1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND-STATE LAWS REGULATING BUILDING CONSTRUCTION
FRAME: FIRE STOPSP ZY/4-�
-SIGNATURE OF _ BRACING,BOLTS
OWNER LATH,INT.: `
AUTHORIZED AST. '®` LATH,EXT.:
DSS-a 25M SETS 1-47 $ P.C.® PLASTER.INT.
FEE $ 3 PLASTER,EXT.
VALUATION 6 ll
SOMEONE
FEE �s C12 FINAL f//(lS /�r
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