HomeMy Public PortalAbout5214TEMPLE CITY BLVD_Building (2) DEPARTMENT OF BUILDING AND SAFETY- �_ APPLICATION FOR PERMIT
}- COUNTY OF LOS ANGELES
' VIM. J. FOX. OHIEF ENBINEER BUILDING
_
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
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ENGINEER NO
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SIZE OF LOTS / NOW ON LOT ONi
USE OF NO OF NO OF
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DESCRIPTION OF WORK
NEW ALTERATION ADDITION
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS iV APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
FOUNDATION LOCATION INSPECTOR DATE
AND AGREE COMPLY WITH ALL COUNTY Q
ORDINANCES FORMS,MAT[RIAL
AND STATE LAA INC WS REGULATING BUIL CONSTRUCTION
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SIGNATURE OF
SRACI NO,BOLTS
PERMITTE 'J
LATH, INT
AUTHORIZED A LATH, QKT
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VALUATION FINAL