HomeMy Public PortalAbout9552BISBY ST_Building - A ROAD DEPT. PL4rd T 16 REQUIRED
FOR ANY MATERIAL vR WORK
DONE IN THE ROAD RIGHT OF
�+ APPLICATION - FOR SUILD1416 PERMIT
COUN1]r. OF LOS ANGELES BU.ILDINa `�,.DEPARTMENT OF COUNTY ENGINEER ADDRHSS Ql
-'BUILDING AND SAFETY DIVMON LOCALP Y
JOHN A.,LAMBIE, C6gNTY ENGINxjm NZ"FST
CA"ATT D. GRIFFIN SUP-T OF 13UILDING CROSS ST
DISrRI NO. GRy,P TYPE H.[7 Y
FOR APPLICANT TO FILL IN CONST.'
BUILDING STATISTICAL {/ g 1IFI TION 8
ADDRESS - �___S
.. CLASS.NO .7JNITH
. NO., - BLOCK MAP STAVAYES
O-
NUMBER HWY.
TRACT / q$ ZdNH SPECIAL
<3IZE OF LOT NOW ON LOT CON ITIONS
USE OF
EXISTING BLDG. HETBACK .YID HW-( STREET NAME -WIDTH .
OWNER FRONT
MAIL P.L
ADDRESS SIDE -
CrrY p4of NO MSPECMN RECORD
,NCHITECT OR •►'EL
GINEER NO:
ADDRESS .
TTgQ L-
CONTRACTOR
ADOR -
DESCRIPTION OF WORK
NEW x ADDALTER REPAIR DEMOLISH
Sq. FT. N OF TIO. OF '
SIZE G SrdRrES 'FAMILIES
USE OF
STRUCTURE -
SIGNATURE OF "
APPLICANT
APPROVALS DATE INSPECTOR'S 31"ATURE
ADDRESS FOUN ATION: LOCATION r
FORME TERIALB
VAI..UATION ; � � FRAN • FIR OPS, '
BRACING BOLTS Ga.
P C. PMT 1'URN-AOH: LOCATION,
—FEE FEE
- aA8 VENT tjUC78
1 HEREBY ACKNOWL DGE THAT 1 HAVE READ,THIS AP- Llk,t.H INT - ,
PLICATION AND STATEB .S
THAT THE ABOVE 18 CORRECT AND '
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BU LDING CO BTR ION. LATH EXT.
SIIrgRH.0 HOUSE NUMBER CO - '
PE,R Ti'i' RECT AND POSTED
ADDRESSAL
CLYDE H. DIRLAM, INCIPAL STRUCTU14Ah EN
PLAN CB= VA ATIO + PERMIT VALIDATION . c' M.O. CAlFH
LK�-O 4 '0 1 �3 MY 6,00
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