HomeMy Public PortalAbout5522ALESSANDRO AVE_Building ")a q 1t 43 2SM SeTS APPLICATION FOR PPi+IT141T
DEPARTMENT OF RUILDI�NG AND SAFETY ,
COUNTY OF LOS ANGELES B U ME)"I G
WM J FOX CHIEF ENGINEER
NO OF SLOG ORD NO DISTRICTOILO PLAN CK NO PERMIT .d N
PLANS SETBACK LINE ,��ddSS// '
FIRE APPROVED ;
ZONE BY DATE REC IVSD BY YDAE 6F APPL DATE'S ISSUU��D
USE APPROVED ///lsCl� ze711
ZON£ � BY DATE I e
APPLICANT FILL/IN HEAVILY, OUTLINED PORTON NLY
BUILDING r�_
O NAME ADDRESS O
ADDRESS LOCALITY y
1- 5 NEAREST
U W CITY CROSS ST
Q STATE TEL `
LICENSE NO NO � NAME
MAIL
0: NAME � � � ADDRESS
TEL
a ADDRESS l O CITY I _ NO
CITY 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
U APPLICATION AND STATE THAT"THE ABOVE IS CORRECT
STATE TEL AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO NO AND STATE LAW®ULATING BUILDING CONSTRUCTION
Z LOT NO SIZE OF LOT SIGNATURE OF
O OWNER
qd NO OF BLDGS / AUTHORIZED AGT _
BLOCK NOW ON LOT �
J
TRACT „� /Jap yr,_ CORRECTIONS /
ly
D USE OF BLDGS
NOW ON LOT
DESCRIPTION OF WORK
USE OF
BUILDING 41,d
W
yr 3
1111 n S4E�{011 -V n
r e � 9� V ..15,.► 0
ar QProduction BoardOfflC�?before M
5 the work aut lorized in tlu permit, � Z
D
NEW -1 r
. TYPE ..- GROUP
NO OF NO OF
ALTERATION� ROOMS FAMILIES _
ADDITION _SIZE —:;tQQ/66
REPAIR STORIES
MOVING WALL COVERING
DEMOLISH ROOF COVERING t� l
FEE FINAL APPROVAL
INSPECTOR S��
VALUATION FEB DA E ` NAME