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HomeMy Public PortalAbout5629-1/2-5631-5631 1/2TEMPLE CITY BLVD_Building DEPARTMENT OF BUILDING AND SAFM .�'tlAPPLICATION FOR PERMiT 4 COUNTY OF LOS ANGELES A ' N BUILDING 1 E ®� oj WM J FOX. CHIEF ENGINEER G V' - - - 1 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTR Z NO PLAN CK NO PERMIT NO BUILDING / /1 ` �i ADDRESS ✓ tY _ 15 I LOCALITY I RECEI BY OAT OF CFPL OAT ISSUED NEAREST- S�Z- CROHS ST BUILDING 62 1 ADDRESS �! OWNER O.Te MFL4t C/ y &X vdic MAIL LOCALITY 1 ADDRESV NEARESTCRO TEL^� .// n BT (� CITY NO tJJ V FIRE plpg NO OF TYPE GROUP I_L ARCHITECT OR TELn.,� O^� ZONE PLANS /� ENGINEER NO W BLDG O SETBACK LINE �7 ADDRESS APPROVEDTEL BYI DATE CONTRACTOR NO USE APPROVED ZON BY DATE ADDRESS T HOUSE NUMBERING , LEGAL DESCRIPTION L MAP NUMBH !C IID CHECK} S TRACT Z NO ASSIGNED BYTH G / / NO OF SLOGS CO CTI SIZE OF LOT O J NOW ON LOT-),I USEOF NO OF J {� EXISTING BLDG Q N FAMILIEG ar ocC pp _ DESCRIPTION OF WORK NEW I ALTERATION I ( ADDITION 9"k .� Oa ✓ P .P f✓a uGD D REPAIR DEMOLITIONI NO OF - - Z l ROOMS STORIES I Z EXT WALL ROOF F COVERING ( COVERING li USE OF STRUCTU H .r APPROVALS — INSPHCT SSIGNATURH DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP• FOUNDATION LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRESTOPS. HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING BOLTS LAWS REGULATING BUILDING"C'ONST UCTION FURNACE LOCATION, SIGNATURE OF �,_ • ,.A, GAS VENT, DUCTS E VFW Tn PCRMITTE �/ LATH, INT t ADDRESS ��T � ��wl.w LATH. EXT n-/ � AUTHORIZED AOT PLASTER, INT Q i >aAC1eA OEY fo-w ,. S P C *'3/ PLASTER. EXT � VALUATIONt - z . •] V(J FEE [FINAL Q ��