HomeMy Public PortalAbout9417 GARIBALDI AVE_Grading__ w18 T-GE607
4-58
-5APPLICATION FOR GRADI G PERMIT
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COUNTY OF LOS ANGELES S ITE
ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN. SUPT OF BLLILDING CROSSST.
FOR APPLICANT TO FILL IN MAP NO. STATE HWY., PROCESSE DISTRICT N
SITE �J3 YES❑ NO BY
ADDRESS 9417 Garibaldi Avenue USE70NE SPECIAL ✓�-
LOT ^-� CONDITIONS
NUMBERS I - p BLOCK
TRACT 29678 L
NUMBER
SE BACK YARD HWY. STREET NAME EXIST.
OWNER Baldwin Building .Contractors WIDTH
ADDRESS 4116 Baldwin Avenue FRONT P.L. ; I
TE
CITY
El Monte NOL GI 3-5710 SIDE P.L.
AE URET
ENGINEERHillcrest Eng. REG.NO. 1832 BOND Y S\ N,OUND
SURETY
ADDRESS 30 Santa Clara Arcadia COMPANY -
SUP,V'G. RAD'G STATE p DATE RECD.
ENGINEERKarel H. Ton let REG. NO. 1,032 FILED BY
CASH . DATE
ADDRESS 30 Santa Clara Arcadia DEPOSIT S B C D FILED
GRADING TEL.
CONTRACTOR NO. -7 w
ADDRESS
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DESCRIPTION OF WORK - .�.� I z_,�. 'r .,,.Fy ;�+ ,-�` -,•_ cS�
Lot Grading
CHECK IF SUPE S D GRADING
SIGNATURE -� ��
OF APPLICANT
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ADDRESS
NO.OF CUBIC YD$. HANDLED: '
P.FEE S74-1-�L
00 .�
350
FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS WORK TO BE COMPLETED WITHIN DAYS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FI NALCMdIZULp F C T 0 R S RE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS RED
GULATING EXCAV IN AND GRA -
('� �(/�Q [+ CFINAL CERTIF. J -
9&DWIN RING CON 1V J OF ENG RED. ^�-
SIGNATURE O /J WORK ` DISTRI T EER C
PERMITTE ��C1 f-�� COMPLETED
SURETY BOND
ADORES,,--fill6 Baldwin Avenue, El Monti RELEASED
CLYDE N. DIRLAM. PRINCIPAL ST C URAL ENGINEER
PLAN CHECK VALIDATION cK` ' M.O. CASH PERMIT VALIDATION CK. M.O CASH
Ln6o 5 3 2 3 OCT 2 8 1 3 D 1 0.00A
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