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A ROAD DEPT. PL 'fWIT IS REQUIRE15
FOR ANY MATERIAL STORAGE OR WORK
'. -DONE IN THE ROAD RIGHT � T
OF Wq
TNnaA aK1 ,I --APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BU ResG
DEPARTMENT OF, COUNTY ENGINEER
BUILDING AND SQL= DIVISION LOCALI
JOHN A. LAMBIE, COUNTY EYvaiNmxR NEIAREST
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r. TEL. P.
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DESCBIPTION OF WOR :
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8a FT: NO.OR NO.OF
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PLICATION AN TE ��THAT THE ABOVE IS CORRECT
AGREE TO COM WITH UNTY ORDINANCES AND
EMATH LAWN LAIN N CONSTRUCTIOLA lOCi.
SIGNATURE OP - HOUSE NUMBER GOR-
FERMI PJ=AND POHTSD
.ADD n - - I FTNLAL,
CLIYDE N,DIRL`AM, PRINCIPAL STRYC VIRAL.ENGINEER
PLAN VALIDATION ax y 0. oA,<tI PEM' VALIDATION. W.O. CASH
A ROAD .DEPT.. PERMIT IS REQUIRED
FOR ANY MATERIAL STORAGE OR WQRK
DONE IN . THE- ROAD RIGHT."OF WADY.:
=-•---CXR. APPLICATION FOR BUILDING PERMIT-
COUNTY OF.LOS ANGELES- BUILDING
DEPARTMENT OF COUNTY ENGUMM ADDRESS
BUILDING AND SAFETY. DIVISION LOCAL
JOHN A. LAMBIE,-COUNTY ENGINI[Ft NEAREST
fCA89ATT D GRIFFIN •u o Bu NG CROSS ST. PR 1p BY
Fda APPLI TO FILIr CONS`':NG ATISTICAL CLASSIFICATION SEWER MAP
SS K.CLASHNO LL.UN.' BLOCK MAP - - STATE.NUMBER SE ZONE SPECIALNO.OF B G$. ITIONS
`LOT NOW ON-LOT
G BLDG. BUILDING KxIdT:
, SETBACK YARD HWY- SET NAME WIDTH._
OWNER FRONT
►(AIL
ADDRESS SIPE( ..
TEL P
CITY NO. INSPE=ON lqECOaD -
ARCHITECT OR TEL:
ENGINEER NO.- - -
ADDRESS A
CONTRACT
ADDRESS
DESCHIFTION OF WORK
NEW .ADD ALTER REPAIR .DEMOLISH
SQ. FT. NO. OF NO, OF - - -
SIZE 'STORIES FAMILIES _
USE OF
STRU RE 0 "
SIGNATURE-OF
APPLICANT
_ APPROVALS DATE INSPECTOR'S 81oHATURE
ADDRESSFOUNDAT)ON: LOCATION
FORME MATERIALS
VALUATION 'j �� � � FRAME: FIRE STORE, _
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F AS VENT,DUCTS
I HEREBY AC WL DO T T 1 HAVE READ THIS AP-
PLICATION AND ATE T THE ABOVE IS CORRECT AND LATH INT.
AGREE TO CO�,1 WR ALL U ORDINANCES AND
STATE LAW$ R U G CO UCTION. LtiTH EXT.
816NATURE OF H UHE NUMBER COR-
PERMI CT RECT AND POStED
ADDR FINALE
CLYDE N. DIRLAM, PRIN IPAL RAI,-ENGINRIKk
PLAN =6�ALIDATION "A. CASH PERMIT VALIDATION L•o•
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