HomeMy Public PortalAbout9162 JAYLEE DR_Miscellaneous_2/14/1969_electrical,patio r
76M4.44-CE #8754-67 nn SCE n ANEO S APPLICA 1T00N
ee COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER LDING
ADI RES S
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF BUILDING NEAREST
° CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT'N GROUP TYPE -�-_ PROCESSED BY
' e CONST. •�s
BUILDING �` � / MAH
v -
ADDRESS NOP (IG CLE) STATE MAJOR SECOND LOCAL
'LOCALITYso em Q'nD �:Q (�bSt71+ USE ZONE SPECIAL CONDITIONS
' NEAREST j `v 149—
9 / ;2 mss®
CROSS S'i. ice. pl. "��-'r/
LEGAL REQUIRED YARD HWY STREET NAME EXIST.
DESCRIPTION LOT NO. BLOCK SETBACK WIDTH
FRONT
i! NO. OF BLDGS. P.L.
TRACT /�G NOW ON LOT SIDE -
USE OF P.L.
SIZE OF LOT EXISTING BLDG. �i f
OWNER
MAIL
ADDRESS
TEL. y.
CITY C, NO. O
APPLICATION FOR C.>
OCCUPANCY O
INSPECTION - SAFETY PERMIT - U
W
TRAILER USE
d
_ fn
USE OF STRUCTURES OR DEVICES
j
LIMITED TIME USE
DATE DATE
FROM: TO:
INSPECTOR'S
APPROVALS DATE SIGNATURE
OCCUPANCY APPROVAL
I HEREBY ACKNOW E THAT I HAVE READ THIS GROUP OCC. LOAD
APPLICATION AND A THAT T ABOVE IS COR-
RECT AND AGRE T COMP Y ITH ALL COUNTY TRAILER USE
ORDINANCES AN TATE WSjR TIN H
WORK AS INDICA+ E� H REO
SIGNATURE OF SAFETY PERMIT
PERMITTEE TEMPORARY
i
(I(/J_J � STRUCTURE APPROVED
ADDRESS �v TEMPORARY
STRUCTURE REMOVED -
FEES !TG 2
FINAL APPROVAL P/
APPLICATION VALIDATION JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
(NOT A PERMIT) CK. M.D. CASH PERMIT VALIDATIONS M.O. CASH
!A',8433 FEB 142At�" .D 15,00-
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