HomeMy Public PortalAbout5126TEMPLE CITY BLVD_Building BUILDING AnDREBs s
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APPLICATION LOCALITY
NEAREST
DIVISION OF BUILDING AND SAFETY CROBS BT
Department of County Engineer DISTRICT NO RECEIPT PERMITN�
County of f.os Angeles
WM J FOX, COUNTY ENGINEER
UP DATE RECEIVED DATE ISSUED
CABSATT D ORIFFIN, SUFI OF BUILPINo 1
FOR APPLICANT TO FILL IN TYP CONBT. RECEIVED BY I [D BY
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MAP ^ D / STATE YES
MAIL HUMBER O( K� NWY
ADDR[SB
re USEZONE SPECIAL
CITY NO 14 _1
/^ J/ CONDITIONS
ARCHITECTPR TEL
ENGINEER No
BUILDING YARD HWY STREET NAME EXIST
ADDRESS SETBACK WIDTH
TEL
FRONT CIO
f
CONTRACTOR NO P-
SIDE
ADDRESS P L
BUILDING DATE CORRECTIONS INSPECTOR
ADDRESSAt
F
LOT NO q q BLOCK
TRACE 674
y �/ NO OF BLDOS
91ZE OF LOT �/� �%fJ NOW ON LOT /
USE OF
FXI9TING BLDG
DESCRIPTION OF WORK
_ o
NEW ADDTER REPAIR DEMOLISH Z
Bo FT O OF NO OF >
SIZE STORIES FAMILIES F
USE OF STRUCTURE
1
NO OF
P
1HEREBY ACKNOWLEDGE TNA HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN 18 APPROVALS INSPECTOR•B SIGNATURE DATE
CORRECT
1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION
AND STAT[ LAWS EGULATING BUILDAG CONSTRUCTION FORMS.MATERIALS
FRAME FIRESTOPS,
SIGNATURE OF I BRACING,BOLTS
PERMITTE '00FURNACE LOCATION.
GAS VENT.DUCTS VENT,DUCTS / C.L.`�m
ADORER
LATH, INT
AUTHORIZED AOT
LATH EXT
FEE S HOUSE NUMBER COR-
RECT AND POSTED
VALUATION O (�
PEE FINAL lolls h
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