HomeMy Public PortalAbout5703TEMPLE CITY BLVD_Miscellaneous 'eM' DIVISION OF MISCELLANEOUS
iDG AND LSAFETY
E O U S A POC�C T ION
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r,epaxtrusat of County Engineer
County of Los Angel" BUILDING C T l3
JOHN A LAMSIE COUNTY ENGIMMM ADDRESS
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LOCALITY
FOR APPLIC NT T ILL 1 NEAREST
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NUMBER HWY YES NO
CONTRACTOR NO U86 ZONE SPECIAL
CONDITIONS
ADDRESS
LEGAL
DESCRIPTION LOT NO D BLOCK SETBACK YARD HWY STREET NAME WI WIDTH
NO OF BLOTS v FRONT
TRACT av y p� NOW ON LOT P L
USE or,
SIZE OF LOT IO /� O EXISTING BLDG SIDE
APPLI AXON FOR INSPECTION RECORD
OCCUPANCY
INSPECTION SAFETY PERMIT
TRAILER USE LIMITEDTIMHUSE
DATE DATE
FROM TO
USE OF STRUCTURES OR DEVICES
INSPECTION
OCCUPANCY AS R C I
APPROVAL
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS DATEI INSPECTOR$SIGNATUR
APPLICATION AND STATE THAT THE ABOVE I8 CORRECT
AND AGREE TO CO LY WITH ALL C TY ORDINANCES OCCUPANCY APPROVAL
AND STATE LA EGULATIN6 I1UWDjNQ CONSTRUC• GROUP OCC LOAD
TION
81 GNATURE OF TRAILER USH
PERMITTEE
ADDRES SAFETY PERMIT
TEMPORARY
STRUCTURE APPROVED
TEMPORARY
STRUCTURE REMOVED
FEE$
FINAL APPROVAL'
JOHN A LAMSIE COUNTY ENGINEER ATION CLYDE N DIRLAM CHIEF BLDG INSPECTOR
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5.00 S
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