HomeMy Public PortalAbout4903TEMPLE CITY BLVD_Building DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES g I L®I IV G
WM J. FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRI PLAN CK NO 1 O
ADDRESS O
LOCALITY REC[IV[D DATE OF APPL DATE ISSUED
NEAREST /`� _ 1
CROBB ST BUILDING �( -
_ ,ADDRESS
OWNER
MAIL LOCALITY
ADDRESS NEAREST
TEL CROSS ST W 6v C Cr/
CITY NO FIRS NO OF TYPE GROU
ARCHIT[ OR TEL ZONE PLANS
ENOIN[E NO 5RD NO
SETBACK LING �
ADDRESS APPROVED
TEL BY a DATE
CONTRACTOR NO USE APPROVED
ZONEBY DATE
ADDRESS J~ HOUSE NUMBERING
LEGAL LpT NO S BLOCK MAP NUMBER_aO/-7 -FIELD CHECK BY
DESCRIPTION Q
TRACT NO ASSIGNED BY VI. nAT
NO OF BLOCS �J - ORRECTI
SIZE OF LOT NOW ON LOT �i(13�o / C
USE OF NO OF _
EXISTING BLDG PAMIU[a
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NEW ALTERATION ADDITION
RVAIR DEMOLITION L
SG FT NO OP
SR[ O ROOMS STORIES T
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COVERING COVERING (�C
USE OF STRUCTURE \ �i
APPROVALS'
INSPECTORM SIGMATURS DAT[
1 H[R[SY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION LOCATION y
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS J��,
CORRECT
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME PIRG STOPS,
�1REON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BU DIN CO RUCTION FURNACE LOCATION, J.SIGNATURE OF - X./�r• GAS VENT, DUCTS
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