HomeMy Public PortalAbout5737TEMPLE CITY BLVD_Building DEPARTMENT O AND SAFETY r vrL rr+AZAVAA A
r COUNTY OF GELES
WM. J. FOX, C ENGINEER -
IL 's G
- FOR APPLICANT TO O FILL IN FOR OFFICE USE ONLY
BUILDING // �( i DISTRICT NO. ,PLA/N CK.NO. PERMIT NO.
ADDRESS lam t-cam✓L a.�f ).:i r� 04 fl?
LOCALITY .��-�'��;il:r: Gm C�C f �lECEIVED�SY DATE OF APPL C�DATE/ISSUED
NEAREST �'fj �4 li (/ rJ �
CROSS ST. ALJ O"�C�i;� rc-vi-� •b=. �' %^ '^� r ,{ /
�! p BUILDING // S- /L
OWNER 11-1•E-1;l 'Vc.%.•C[.=:"tr_G(/ ADDRESS f Cr?
MAIL LOCALITY
ADDRESS v �� Cj/G. `/',•.�f 1
NEAREST
CITY �� JCC TELcI',1/-/v 7 CROBSBT.
N O. �?f
RIRENO.OF TYPE--•'�"/`'- GROUP ) /
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO. _
BLDG. r _ ORD.NO.
ADDRESS --- SETBACK LINE
APPROVED
CONTRACTOR�I=J1'-� "��=`r NO. /j j BY DATE
/ USE APPROVED
ADDRESS �f.�/�rJ �-�-''✓:� / ` C i✓6t (_� ZONE, BY DATE
LEGAL _
DESCRIPTION I L/OT NO.= /7 6U
I BLOCK /'? �%U 7 CORRECTIONS
TRACT G.s� 40 w'
.r �)Lr- NO.OF BLDGS. �,�•
SIZE OF LOT S`� /� /G I NOW ON LOT
USE OF NO.OF NO.OF—
EXISTING BLDG. -' FAMILIES ROOMS
DESCRIPTION OF WORK "
NEW' /\ I ALTERATION I ADDITION
O
REPAIR MOVING I DEMOLISH m
SIZ FT. rJ; ROOO.MS �G STORIES Z
SIZE ! y
_
WALL r4' ROOF /' r
COVERING ic//--LC�.�J,� I COVERING
USE OF NEW I �" �
BUILDING / (d /�[/yILAJ('/1 v.'S`LtC I
1 HEREBY ACKNOWLEDGE THAT I HAVE REAb THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION:LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. i
FRAME:FIRE STOPS,
SIGNATURE OF /�/. l BRACING,BOLTS ��r
OWNER :�U
- i LATH,INT.:
AUTHORIZED AS. /�' ✓J rz��- - LATHS EXT.:
DSS-3 25M SETS,-�$ P.C.S PLASTER.INT.
22-2)
7,S-00 FEE // PLASTER,EXT.
N
VALUATIO / .'�" FINAL 11 �` -I y P
FEE f .