HomeMy Public PortalAbout4824 GOLDEN WEST AVE_Relocation__ APPLICATION FOR RELOCAT ION BUILD 1 NG PJMRIT
DIVISION OF BUILDING AND SAFETY BUILDING
Department of County Engineer ADDRESS ,
County of Los Angeles ;
76A639 JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
DBS-79-11-15S CASSATT D.GRIFFIN, SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT O. GRO P I TYPE SEWER MAP
PROPOSED BK PG
BUILDING
CONST.
ADDRESS _ J �D'✓ MAP /'
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NUMBER HWY� YES
LOCALITY cOI
NT USE ZONE SPECIAL Q
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DRESS /
A 1—t
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OWNER FP.LT V aGU P.
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ADDRESS S ' P4/ ✓ SIDE I Q I• 5 TZ, 6dT
I TEL. ✓ P.L. �j Ori 6-04w�N —447 I -
CITY f`P P CI-t NO.v TEL. -/y - SURETY Y'ea DATE ��y X91-�°('yREC•D
MOVING
BOND
LED
CONTRACTORl7��t,.+/y� N,O. JJJ/�.m��®���sy�� CASH S DATE L9� REc•D
ADDRESS 7/� /—"7, 4,15/1,4 d,011 AP-P,P, ,p.-tom DEPOSIT 8 FILED BY
BUILDING TEL. APPROVALS
CONTRACTOR NO. DATE INSPECTORS SIGNATURE
ADDRESS FOUNDATION:LOCATION
PRESENT FORMS,MATERIALS /
USE OF FRAME:FIRE STOPS.
W�
BUILDING .rG BRA•.CING,BOLTSC.�/L?1�
PROPOSED 11
BUSEOFULDING ,� F�® FURNACE:LOCATION
GAS VENTS,DUCTS
"///r LATH,INT.
SQ. NO OF
SIZE n ® RO ROOF LATH.EXT.
WALp I � STORIES
COVERING �`"1 i7a?('�1-I7 (1✓COVERING / M �� HOUSE NUMBER COR-
LEGAL j• v RECT AND POSTED s/
,DESCRIPTION. I LOT NO G�7 BLOCK
` Jf� Pv ,J1
RACT y �vSTa FINALta
qg
�'� ��% DISTRIC NGINE R
o I NO. O
OF BLDGS. p/L M WORK COMPLETED
SIZE OF LOT OW
NON LT /V!J
SURETY BOND
USE OF I NO.OF
RELEASED
EXISTING BLDG. FAMILIES
1 HEREBY STATE THAT
US INF O ON GIVEN IS I HEREBY ACKNOWL DGE THAT 1 E READ THIS
CORRECT. / APPLICATION AND STATE THAT THE ABOVE IS CORRECT
SIGNATURE OF AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
APPLICANT AND STATE LAWS REGULATI1NG CONSTRUC-
J '
9 • .-J-- TION.
ADDRESS _ ' / SIGNATURE OE' y
PERMITTEE
VALUATION$
FEE ADD ESS �y
FEE .�
JOHN A. LAMBIE.COUNTY ENGINE lowLIDATION l/CLYDF-N. D17��M.eHIEF E3LDG.jNSPECTOR
cc MO CASH
►;�1 "y 7 3 fA SEP 1 2 5 A
T-5 417 2 OCT 2 6 6 A 8.��