HomeMy Public PortalAbout4442TEMPLE CITY BLVD_Building (2) DIVIk}ION OF BunmmG AND SAFETY ,-a ® � ® ' ®i
r - a- Pepartu e t of County EBgluoer ® N®
e Colmty of f.oB AGgelew i� ' APPLICATION
WM. J. FOX, COUNTY ENGINEER I
FOR AP LICANT TO FILL IN F08 OFFICE USE ONLY
DISTRICT N0. PLAM G(L OR RW NO PERMIT NQ
BUILDING r VQ 4`J G 9/ 13
ADDRfBB
q[O BY DATE OF APP" DAT[IBBU[D
_LOCALITY ,p P—
p= awe Z✓'Z
^ BAUD9LKSITS
OWNER !— LA
MAIL JG/ TADDRESS TE -rAl O CROBBY
M�Z -
HT O�-�O�'-r�tJ�"'-•� u'�'L
ITY H /✓ No. R[ N6 OF TYPE ROUP
ZONE PLANS
ANOHIT[DT an
MNO.GIN[[R N6OLDO, -0 RD NO
B[TBAOK LIN[ (/ 1i
ADDRESS USE APPRDV[D
TEL ZDNE BY DAT[
pONTRAOTOR NO NOUS[ NUMBERING
-ADDREllull MAP NUMBER NO ASMIGN[D
L[OAL7 R� CORRECTIONS
OESCRIP 'low LOT N0. J BLAOK
TRARr 9.9 v OLDOM
_ _-
Blla Gr Lar G0 x 1&s:/boNow ON Lvr HOLf
cw
110E OF NO. Or
EXISTING BLOB r",11[R
DESCREMON OF WORK m
0
z
NEW ALTERATION ADDITION )t
r
REPAIR DEMOLITION
NO.Or
IBBIB ZEA ROOMS STORIES [s
fXT WALL ROOF �//Q •�I 'EI I •_
COV[MNC 4 OOVEMNG
USE OF ST DTUq[
APP
V. 96 MAT[RIALS ON ALS
INSPECTION FCR INBP C OR' BIGNATUR[ DATE
OCOUPANOYAS
r�MDATIDN
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND BTATZ THAT THE INFORMATION GIVEN IB FRAM[ FIREBTDlB'
CORRECT
BRAOIN0.BOLTS
I AOREK TO COMPLY WITH ALL COUNTY ORDINANCES rURNACKI LOCATION.
AND STAT[ LAWS REGULATING BUCILDING OONSTTIUDMDN GAS VENT, DUCTS
SIGNATURE Or J LATH. INT. '1
PERNITT[
ADDRESS
rP B LATH. [xT
PLANTER. INT
AUTHORIZED
PLASTtR. ECT
/DJ .0 OO PrE°c S / � HOUSE NUMBER DOR-
�— RECT AND POSTED
• /
vALUAT N RE � �— FINAL
�u�w Deo 3 1-Ev