HomeMy Public PortalAbout5919 TEMPLE CITY BLVD_Building I�BTXENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES 3 Ul L D I
WM. J. FOX. CHIEF ENGINEER
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN N
DISTRICT O. PLAN CK.NO. PERMIT NO.
BUILDING - I
ADDRESS
ED
REIVEED BY OAT DFAPPL. DATE IBBU
LOCALITY a -1 -/7- -14�1-6
NEAREST LCROSS STS141 AS. I I 0V I
BUILDINGf 5-4 1 -Tzz--7-
OWNER OR P—; Q,5 M ADDRESS -z— C
MAILLOCALITY
ADDRESS "D-- NEAREST
TEL. CROSS ST. -:5
CITY No. FIRE NO.OF TYPE rAR13ap
ARCHITECT OR ZONE PLANS
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ADDRESS APPROVED DATE
TEL. By
CONTRACTOR L-J bi k -NO. USE OrJAPPROVED
ZON A-49'13Yj DATE
-ADDRESS CO CYTONS
LEGAL
DESCRIPTION
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TRACT
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SIZE arLOT ---
N ON LOT
43 J
USE QF f7.p.T .I L- NO.OF N
EXISTING BLDG I LZA-M
DESCRIPTION OF WORK Q
NEW
ALTERATION ADDITION
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REPAIR I MOVING DEMOLISH 0-7
sla.FT. 0 bi No.or >
SIZE ROOMS C J STORIES
Roor
WALL
COVERING SVG e. G I COVERING C
USE OF NEW
BUILDING
At
ERE ACKNOWLEDGE THAT I HAVE READ THIS APPROVALSAP; HEREBY BLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION*LOCATION "Nap VtOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: VI RE STOPS' 0e,
SIGNATURE OF BRACING,BOLTS
PERMITTEE e<2 LATH, INT-
AUTHORIZED AGT— LATHP EXT,
71SACaBA-3 7-49 -P a 10 PLASTER,INT.
FEE /bf PLABTER,EXT.
VALUATION
FEE A —7 FINAL
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