HomeMy Public PortalAbout10017 GREEN ST_Building__ UILDING
BUILDING ADDREBB
APPLICATION LOCALITY ,
NEAREST
DIVISION OF BUILDING AND SAFETY
CR.
9T.
Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO.
County of Los Angeles 9,3 /7xi-0.z
WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED
CASSATT D. GRIFFIN, SuPIT OF BUILDING
FOR APPLICANT TO FILL IN TYP5PONST. C IVED SX ISSUED BY
OWNER
MAIL �/ �Q MAP !'; STATE
f.
ADDRESS t7 `� �• �.-{r-T h �-- NUMBER YES
�.y, ��' tom- f
USE ZONE SPECIAL
Tk`L. n CONDITIONS
7
CITY / ,....!!! ie.i c �. --c NO.
ARCHITECT OR TEL.
ENGINEER NO.
BUILDING YARD HWY STREET NAME EXIST.
ADDRESS SETBACK WIDTH
FRONT
.�:,s.�-�7� TEL. P.L.
CONTRACTOR NO_'
SIDE
ADDRESS " \r .. .„�.. . .a. P.L.
BUILDING
DATE CORRECTIONS INSPECTOR
`
ADDRESS �..
LOT NO. ^ �� BLOCK �•
TRACT - (/
_ NO.OF BLOBS. `� '�� II
SIZE OF LOT _'«' �G-� �. ��I NOW ON LOT
USE OF I r'
FXIRTINO BLDG. + J'
DESCRIPTION OF WORK
NEW X ADD ALTER REPAIR DEMOLISH Z
SQ.FT. NO. OF / NO.OF >
SIZE ! STOPIES FAMILIES f r
USE OF STRUCTURE
4T A
� f+
NO.OF
EMPLOYEES
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN 18 APPROVALS INSPECTOR'S SIGNATURE DATE
CORRECT.
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION I
AND STATE LAWS REGULATING BUILDIN3 CONSTRUCTION. FORMS,MATERIALS •t f, I
/ FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS 3 ��-s.S
PERMITTEE FURNACE: LOCATION,
pp / GAS VENT,DUCTS
ADDREBaVt/ .'�. .T��' ✓ �.- �jry C
LATH, INT. vv -{�D
AUTHORIZED AOT.
__ LATH, EXT.
/��
CSC
$ P. C. $ S HOUSE NUMBER COR-
FEE RECT AND POSTED
VALUATION FINAL
FEE
76A638A D3 3 06 5-54