HomeMy Public PortalAbout10027 LA ROSA AVE_Building_11/19/1951sm
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DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES U I I GWMJFOXCHIEFENGINEER
FOR APPLICANT TO FILL IN
FOR OFFICE USE ONLY
DISTRICT O PLAN CK NO PERMIT
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LOCALITY
RECEIVED BY DATE OF APPL DATE ISSUED
NEAREST
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ADDRESS
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ADDRESS VAPPROVED
TEL
BY DATE
CONTRACTOR i NO *fgole-t USE APPROVED
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ADDRESS tf 'ir./lr +.
r HOUSE NUMBERING i "a
LEGAL I LOT NO ' BLOCK MAP NUMBER FIELD CHECK BYDESCRIPTION
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TRACT l _, NO ASSIGNED BY unAT
Q 0 I NO OF BLDGS CORRECTIONS
SIZE OF LOT NOW ON LOT
USE OFNO OF
EXISTING ELD6 / Q,_ A2-- FAMILIES /
DESCRIPTION OF WORK
NEW I I ALTERATION I I ADDITION I
4
0
REPAIR I DEMOLITION I I I A
SQ FT NO OF n
SIZE ROOMS_ STORIES Z
EXT WALL ROOF r
COVERING COVERING r
USE OFSTRUCTURE
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APPROVALS
INSPECTORS SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP FOUNDATION LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS MATERIALS
CORRECT
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRE STOPS
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING BOLTS
LAWS REGULATING SU,IJ-DING CONSTRUCTIOON
FURNACE LOCATION
SIGNATURE OF yy
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t .C GAS VENT DUCTS
PERM ITTEIK } (((rrrJJJ /il CfR,"yQ, "-Lr&q-.Or'
ADDRESS ® "
LATH INT
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LATH EXT
AUTHORIZED AGT
PLASTER INT
76AG38A DSSS 10-80 P C $ -
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FEE - ' PLASTER EXT
VALUATION
FEE / — FINAL
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