HomeMy Public PortalAbout5516 CLOVERLY AVE_Building__ r r
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APPLICATION FOR BUILDING PERMIT
DMSION OF BUILDING AND SAFETY ADDRESS BUILDING 5 !57ld N-
Department of County Engineer
County of Los Angeles LOCALITY CS
WM J FOX COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
RM DISTRICT/NO GROUP TYPE 8 BE MAP
FOR APPLICANT TO FILL IN 1- r I CONST /41
BUILDING ��// � MAP g O p c/ STATE
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ADDRESS ( Q7 i., NUMBER j} �€J
LOT NO IV w/,f?,)BLOCK UB�,ZONE SPECIAL
CONDITIONS
TRACTN6 OF BLDGS
SIZE OF LOT 0+�I1O A�! I NOW ON LOTi'I�I/� BUILDING YARD HWY STREET NAME EXIST
SETBACK �WIDTH
EXISTING BLDG ,✓ fArr FRROL T r �y
OWNER ♦ d
SIDE
�j P L
MAIL
ADDRESS �7 , /d�.r O TRACT DWELL I UNIT
}`� ��jj �,w�g6f/TEL 1 DWELL I UNIT 5 INDUSTRIAL
CITY �<I !«.il NO 6 PUBLIC BLDG
2 DUPLEX I UNIT
ARCHITECT OR TEL 7 ADDN ALT ETC
ENGINEER dt" NO 3 APT UNITS
8 MISCEL
ADDRESS 4 COMMERCIAL
TNo 2 INSPECTION RECORD
.- �Y k& ! rL ��y/,1 r 'tom A
DESCRIPTION OF WORT{ I I;Z!Lj P. L, ew c-,I kr.'
NEWS// Ap ALTER REPAIR DEMOLISH
SO FT L' O OF NO OF
SIZE TORIES FAMILIES
USE 9,FSTRUCTUR ,
B's _
A t b r-,,&R 0 e e�1� _ v,
SIGNATURE OF
APPLIC I APPROVALS
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ADDRE S J',/' _ DATE INSPECTOR S SIGNATURE
FOUNDATION LOCATION c--
I,
P C $/ c�C FORMS. MATERIALS -
FEE
20A O,C FBRACING,BOLTTS -4S . Z3 t7� Nor+
VALU TION / dG $ho / t
FEE ddJ FURNACE LOCATION
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT. DUCTS
APPLICATION AND,STATE THAT THE ABOVE IS CORRECT I L� I 1 /� yw
AND AGREE TO C MPLY.WITH ALL COUNTY ORDINANCES LATH. INT + J..-.lctll
AND STATE LA .�R ULAT[� BUILDING CONSTRUC- .,
TION _ LATH. EXT
SIGNATURF,,pF��., HOUSE NUMBER COR-
PERMII]''CE.E RECT.AND POSTED .{
ADDRESS �S J f / .I .6e "' FINAL J
WM J. FOX, OUNTY ENG INKI'V�I.IDATION C N IRLAM, CHIEF BLDG INSPECTOR
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