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11.55 APPLICATION FOR BUILDING PERMIT ],
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DIVISION OF BUILDING AND SAFETY BUILDING ADDRRESS
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Department of County Engineer
County of Los Angeles LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN. SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE SEWER MAP
PG
FOR APPLICANT TO FILL IN A -2
T.
CONS
ADDREISS E Ga ibaldi NUMBER SHWY YES
SPECIAL
USE ZONE .�
LO 15 BLOCK CONDITIONS 01
TRACT 5",03NO.OF
S 1
SIZE OF LOT 501x176 I NOW ON LOTS 1 BUILDING EXIST.
SETBACK YARD HWY REET NAME WIDTH
USE OF
EXISTING BLDG. Residence FR. L.ONT �
P _Zjj
OWNER Blanche G Nix SIDE
P. L.
MAIL
ADDRESS O TRACT DWELL. I UNIT
5 INDUSTRIAL
TEL. t DWELL. I I UNIT
CITY NO. 6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX 2 UNITS 7 ADDN..ALT.. ETC.
ENGINEER NO. $ APT. UNITS
8 MISCEL.
ADDRESS 4 COMMERCIAL
CONTRACTOR Schulz Bros. N'i't.$-0922 INSPECTION RECORD
ADDRESS 9203 DeAda lens St. _
DESCRIPTION OF WORK /
NEW X ADD ALTER REPAIR DEMOLISH
SNO. OF NO OF
SIZE FT. 860 STORIES 1 FAMILIES 1
USE OF STRUCTURE Residence
L
o ^ra e O
E OF
NT APPROVALS .7C
DATE INS CTOR'S SIGNATURE
FOUNDATION: LOCATION
�pdC� P. C. $ (I� FORMS.MATERIALS
FEE FRAME: FIRE STOPS.
N $ U BRACING, BOLTS
FEE Ce) FURNACE: LOCATION,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.
AND STATEREGULAT G BUILDING CONSTRUC-
TION. LATH. EXT.
UAT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED ,y�
ADDRESS FINAL
JOHN A.LAMBIE. NTY ENGINEERTT ATION CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR
CK MO CASH
P,03 1 4 7., :u41 6 2 3 A 15.0 0 1 f
3261°; ; 10 1 A 30.00