HomeMy Public PortalAbout4932TEMPLE CITY BLVD_Building DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ® I
wm.J. FOX, CHIEF ENGINEER BUILNG
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO PLAN OK.NO PERMIT N0.
BUILDING / ✓ ..5 S�r7 /
ADDRESS
LOCALITY ,Ae RLE C/T RECEIVED e/Yj DAT[OF APPL. DAT[ISBU[D
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OWNER ADDRESS [ v
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ARCHITECT OR T[L ZONE �•'� powr TYP DROOP
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ADDR SETBACK LIN[
APPROVED
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CONTRACT
OR No eY DAT[
USE APPROVED
DRE® ZONE SY DATE
LEGAL CORRECTIONS
DESCRIPTION LOT N6 Up BLOCK
TRACT L
NO CF SLDOB
SIZE Of LOT NOW ON LOT (j rJL
USE OF NO OF NO OI
E%ISTIN BLD w i[ ROD
DESCRIPTION OF WORK
NEW tworALTERATION I =� ADDITION D
A
REPAIR MOVING DEMOLISH 0
Bq R NO OF
BIZC DO ROOMS STORIES
WALL1 r
COVERING J� •N � OOVERINO 0004"
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BUILDING Qr
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I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT FOUNDATION LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS. MATERIALS ✓p h 3 3 7��//
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AND STAT[LAWS REGULATING OU ILDIN13 CONSTRUCTION
fRAM[• FIR[BTOPS. `.
SIGNATURE:or �4
BOLTS
CHIMER VvVC. ✓//.v// LATH,ING,
AUTHORIZED AGT LATH.KILT•
1)0 -3 25M em 1-+7 $ P.C.$ PLASTER.INT.
,tom{ FEE 17;F_--
PLASTER.EILT.
vALuwnoN v s •'� FINAL