HomeMy Public PortalAbout9722 LONGDEN AVE_Building__ 78A888A OBS-8' APPLICATION FO'� •B U�L®I N G. P.E R�V i r
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DIVISION OF.BUILDING AND SAFETY . B irl LD I NG '-
Dep0=tD36nt of COuatq Engineer - ADDRESS• ..r Z. "'Flr 6'9,lL, .
County of Los Arigelea LOCALITY. r;�i i'
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT of BUILDING NEAREST �� �1 e }
CROSS ST.` G. Csf „eW
FOR APPLICANT TO FILL IN Hmm DISTR CT IVO: G P SEWER, MAP , '
- TYPE BKPG
LJ
BUILDING MAP G 'T
STATE
YES'ADDRESS p] „ NUMBER HWY'
LOT NO. ,SO/8 e1 .1%41 r$OOCKU !� USE ZONE' SPECIAL NO
CONDITIONS
TRACT OF LO7.T i 1SANT� �4M/Ti4• LMLO SCAT' �'��
�it4
NO.. BLDGS. �
` SIZE OF LOT','J:Q X. J.S'() I NOW ON LOT J - BUILDING EXIST.
YARD HWY' STREET.NAME '
USE OF . SETBACK WIDTH
EXISTING BLDG. Dll'i�:✓n' J . ..
' FRONT. e, •
OWNER,,' SIDE
MAIL :P.L.
ADDRESS 2• O••TRACT DWELL.. 1 UNIT' '
5 1 STRIAE
CITY NO I. DWELL.- 1 UNIT .6 HLIC G. ' '
ARCHITECT OR TEL. 2 DUPLEX- 2 UNITS .4DDN...ALT:..
ENGINEER 3; AP7.. _UNITS
,i�SCEL.
ADDRESS 4•=COMMERCIAL
-TEL.
CONTRACTOR NO.. ' INSPECTION RECORD:
ADDRESS
::DESCRIPTION OF 'WORK 2--QrA •/' %1 0��A J rl�T
NEW.• ADD ALTER ..REPAIR. DEMOLISH. /S'
SO:FT. NO.OF 0 NO.OF .
SIZE •- STORIES r FAMILIES® , S
USE OF STR�CTURE ' S-�iff6-7o)3,C.� p'r f� 0 I A-i
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Fc;V.-))V,21;
SIGNATV� OF 4 �y�.� ,I �J n
I PP-LICj►NT APPROVALS 9 cJ��,4 f / L��r1 //LI
ADDRESS DATE INSPECTORS SIGNATURE 3
tl FOUNDATION:LOCATION -7-
P.C. $ , ' FORMS.MATERIALS .-W
FEE.-- _ FI¢AME: FIRE-S'I'OPS,'
VALUATIOi1 $ ®O.. -. BRACING. BOLTS . it ' 7 it.P !•�'
FURNACE: LOCATION.
I HEREBY.ACKNOWLEDGE THAT.1 HAVE READ -THIS
-
GAS VENT.DUCTS =
APPLICATION AND.STATE'THAT THE'ABOVE IS CORRECT-
AND-
ORRECT"
AND•AGREE TO COMPLY-WITHALL COUNTY ORDINANCES LATH:INT.
AND STATE" LAWS,REGULATING BUILDING CONSTRUCT
?'ION' LATH. EXT:
IGNATURE OF HOUSE NUMBER COR- E?b
PERMITTEE RECT AND'POSTED '
) / O-
ADDRESS FINAL ' '/lv/�
JOHN A.LAMBIE:COUNTY ENGINEER VALIDATION CLYDE N.:DIRLAM,'CHIEF BLDG. INSPECTOR
CK fiI0
JUL 12- . 1 2:0 0 'In:.