HomeMy Public PortalAbout10753 FAIRVIEW AVE_Building__ ii55 J �D�II� APPLICATION FOR BUILDING PERMIT
DIVISION OF BUILDING AND SAFETY ADDRESS
Department of County Engmeer
County of Los Angelesr LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST t
CASSATT D GRIFFIN, SUP T OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN DISTRICT O GRO P TYPE SEWER MAG
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BUILDING p Q MAP STATE
ADDRESS_'O g �� r1�iL�liV� erV NUMBER DS HWY YES NO
LOT NO BLOCK USE Z NE SPECIAL `
CONDITIONS--
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NO OF SLOGS R
SIZE OF LOT /� .7 (/I NOW ON LOT BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
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CITY ' V I NO I DWELL 1 UNIT 5 INDUSTRIAL
V 2 DUPLEX O 2 UNITS 6 PUBLIC BLDG
ARCHITECT OR TEL 7 gDDN,ALT, ETC
ENGINEER NO 3 APT __L
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ADDRESS 8 MISCEL y 4 COMMERCIAL '
EL INSPECTION RECORD
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DESCRIPTION OF WORK
NEW JADDJ ALTER REPAIR DEMOLISH ,0�3 3 �-gov'�s �/,
SO FT NO OF NO OF
SIZE STORIES FAMILIE
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APPLICANT � / � APPROVALS �J�,j� � f
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ION r� O /,��
DFEE FRAME FIRE STOPS
VALUATION $ BRACING BOLTS
FEE FURNACE LOCATION r
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT DUCTS +�— ✓� Y
APPLICATION AND_STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION LATH EXT
SIGNATURE OF `_,/� ����„� HOUSE NUMBER COR-
PERMITTEE T - RECT AND POSTED
ADDRESS � k-1416<1 'y'/L � (V FINAL — j
JOHN A LAMBIE, COUNTY ENGINEER VALIDATI CLYDE N DIRLAM, CHIEF BLDG INSPECTOR
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