HomeMy Public PortalAbout6254 BURTON AVE_Building__ APPLICATION FOR RELOCATION BUILDING PER6IT �
DIVISION OF BUILDING AND SAFETY BUILDING
Department of County Engineer ADDRESS
County of Los Angeles
7.AS.a JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY
DBS.79.11.55 CASSATT D. GRIFFIN. SUPT OF BUILDING NEAREST,
CROSS ST. a"FOR APPLICANT TO FILL IN DISTRICTNO, GROUP YPE SEWER MAP
PROPOSED
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PRESENTBUILD ` - ( ZONE CONDITIONS
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CONTRACTOR , NO. -
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ADDRESS
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CONTRACTOR CA-y_�`'A.pa- NO.
GATE INSPECTOR'S SIGNATURE
ADDRESS I FOUNDATION:LOCATION -
PRESENT
E - FORMS,MATERIALS - 3-
BUILDINGOF
BRACING,BOLTS
✓l 1Z'd(�LG Y'L-'�J FRAME:FIRE STOPS.
PROPOSED GAS VENTS,DUCTS
UFURNACE: LOCATION
BUILDING
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��I .C•-Icts2 ('Y- x 11f.� LATH.INT. WOO /
SO.FT. NO. OF
SIZE +� (� ROOMS d STORIES LATH.EXT.
WALL ROOF
COVERING I COVERING - HOUSENUMBER COR-
LEGAL RECT ANDPOSTED
DESCRIPTION I LOT NO. �� I BLOCK
..� O .J. FINAL. O
- /.S� �J. �'/ r✓
TRACT DISTRj11CjT ENGINEER
WORKCOMPLETED /O
SIZE Or LOT nI NOW ON LOT
USE OF rvo.of
..! SURETY BOND /U
J� / RELEASED
EXISTING BLDG. •'1..�.rj�iC_C• t 'FwM wes / -
I HEREBY STATE T"T THE INFOR TION' 1 -EN IS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
CORRECT. cro - APPLICATION AND STATE THAT THE ABOVE IS CORRECT
SIGNATURE OF _ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
APPLICANT �� -�i:51' �' '✓= /� AND STATE LAW REGULATING BUILDING CONSTRUC-
ti. L TION.
ADDRESS `r + SPERMITTEE
IGNATURE
VALUATION $ l
C. $
/S 4 FEE ADDRESS
FEE
JOHN A LAMBIE. COUNTY ENGINEER VALIDAT� AM,CLYD N.DIRLCHI F BLDG. INSPECTOR.
CK MO /CASH
6 z 5 a 15.0 0 u
'LA oB 0 0 3 r JL!-1 15 6 A
18.0 0