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,ap,3a. Eaeo3,o.,e APPLICATION FOR BUILDING PffMIT, Z
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER FDORE88
BUILDING AND SAFETY DIVISION LOCALITY
.JOHN A.LAM BIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROS ST.
DISTRICT NO. GR O TYPEPR ESSED BY
FOR APPLICANT T IN I CONST.,
ADDRE SG � GQ.Q �� STATISTICAL CLASSIFICATION SEWER MAP
/ CLASS.NO. DWELL. UNITS—L-1 Z-B�1>JIP�G
LOT NOSO O F No 7,fo /-GI BLOCK MAP STATEYES O
NUMBER HWY.
TRACT � eZ USE ZONE SPECIAL
SIZE OF LOT O O L'�1 I NO.OF BLDGS. CONDITIONS
�J
NOW ON LOT
USE OF
EXISTINGBLD E' C^/YG ILDING ypRD HWY
S EET E EXIST.
SETBACK WIDTH
OWNER f/`� Y �(J� / CL/N(e-i' FRONT
MAIL / O T! P. L.
ADDRESS SJ A L FAL C. SIDE
CITY L _ No• (I P.L.
I
ARCHITECT OR TEL. NSPECTION RECORD
ENGINEER NO.
DDRESS
/7
CONTRACTOgR `CtlTC [o NO EL.
02 �a
ADDRESS�7111EFQf1dG IS mu/TO (Qu'A(A _
DESCRIPTION OF WOE
1 � li
NEW ADD ALTER REPAIR DEMOLISH
SO.FL -0 NO.OF NO.OF -
SIZE v STORIES FAMILIES
USE OF STRUCTURE
SIGNATUREOF APPROVALS J
APPLICANT413,
r FOUNDATION: ON
DATE ' INSPE R'S SIGNATURE
ADDRESS ioyHFORMS.MATERIALS
P.C. S FRAME: FIRE STOPS.
FEE BRACING. BOLTS
VALUATION / �/O S D(7 FURNACE: LOCATION. D_ L,,,l--�
FEE GAS VENT,DUCTS I �- F
IC HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT f
PLIATION AND STATE THAT THE ABOVE IS CORRECT AND _
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH.EXT. ✓
STATE LAWS REGULA G BUILDIN CONS RUCTION. _
SIGNATURE OF AZ?-.-`_ HOUSE NUMBER RECT AND POSTEDR b `�
PERMITTE
ADDRESS/-7/// `� FINAL �L y
CLYDE N.DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION OK. M.O. CA/H PEDW VALIDATION CK. M.O. CADX
r2� 473 ;i ? 523A 15.00 `
. 'o8729 � .1;J30 1 A 30 .9900 ".
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