HomeMy Public PortalAbout5946 BURTON AVE_Relocation__ DEPARTMENNNRIF BUILDING AND SAFETY APPLICATION FOR BUILDING � ^
(AUNTY OF LOS ANGELES RELOCATION
WILLIAM J. FOX, CHIEF ENGINEER FOR OFFICE USE ONLY
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FOR APPLICANT TO FILL IN ol$TRlcr No. RIDE JE/D g DAT RE 'D RECEIPT
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PROPOSED G /��/� /Ol jJ�� /1I�� S / 7l,
ADDRESS BUILDINp •5y�E� '• +� O / 1 TQ lI
,1 /l j.� J� _ BUILDT APPLICATION
LOCALITY` S4AI / YAi/JP E J. PLAN CK. NO. PERMIT NO.
PRESENT
ADDRESS q/e� V✓. HUNTo*
BUILDING T/K-
RECEIVED BY DATE OF APPL DATE ISSUED
LOCALITY
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ADDRESS ETBACK LINE 2-C/{
ITY TJR ST /C/Y
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A nnNOLS��((Y 4/0J 20 USEi 'I APPROVED By DATE /
MOVING% /L /TYLGA/N,,,o�/ /f ,I HOUSE NUMB IND
CONTRACTOR I MAP NUMBERZ OD A991BNEO BY C/;
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ADDRESS 4n Tl� J ! / •
. SURETY DATE REC'C
BUILDING TEL. BOND III FILED—By—
CONTRACTOR NO.
CASH DATE RECD
ADDRESS DEPOSIT$ FILED BY
PRESENT q „1 !� MISC.RECEIPT ND.
USE OF FOR CASH DEPOSIT
BUILOiNG
PROPOSED � /�J// F
l/ CORRECTIONS
BUILDING OF /�v
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/ STORIES
WALL4ROOF
OECOVERING/ TElJ OVVRIHG!:!O/Ap /5W/1•
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DESCRIPTION LOTNI;. lJY/ � BLOCK
TRACT
BIZE OF LOT/S X I%I / NOW ON LOTH
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y EX ST HG HLDG:STO/FAGF i'GA/1'AP>r F M°`EB APPROVALS
I HEREBY STATE THAT THE INFORMATION GIVEN IS COR- INSPECTOR'S SIGNATURE DATE
RECT. �/JA/M�/] FFORMS, MATERIAL TION ,
SIGNATURE OF J' JIB/ FORMS, MATERIALS
APPLICANT— Q {�� FRAME: FIRE STOPS, y'
' ADDRESS373/1 7) /V/tif/tel BRACING. BOLTS
_ FURNACE: LOCATION ♦
I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT,DUCTS I /• •6,
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT.: A-�/V
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AND STATE LAWS REGULATING BUILDING CONSTRUC- LATH EXT.:
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AIM A_IM
TION.
SIGNATURE OF , v1 gad PERMITTEE PLASTER, INT. � �y\��F/{q1�� +
ADDRESS PLASTER, EXT.
AUTHORIZED AST. HOUSE
DAND POSTED CORRECT
[FEE
LOCATION APPLICATION '
VALUATION $ FEE $10.0FINAL
0
DISTRICT ENGINEER
C. $
WORK COMPLETED
SURETY BOND
7.A9°s OBSV9 T-9I EE $ r RELEASED
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