HomeMy Public PortalAbout9217 PENTLAND ST_Relocation__ 72EPARTMENT OF BUILDING AND SAFETY APPLICATION FOR BUILDING
_COUNTY OF LOS ANGELES RELOCATION
WILLIAM J FOX, CHIEF ENGINEER FOR OFFICE USE ONLY
tFOR APPLICANT O FILL DISTRICT NO RECEIVED BY DAEREp'D I RECEIPT NO
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PROPOSED C? er 10 /�3 4�Ss
UILDING �
ADDRESS -CC 11 VA ` BUILDING APPLICATION
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PLANCK NO PERMIT NO
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FIRE NO Or TYPE, &ROUP
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MAIL ' BLDG ORD NO
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MOVING TEL HOUSE NUMBERING
CONTRACTOR NO
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DESCRIPTION 'GTNO BLOCK
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SIZEOF LOT w V NOW ON LOT
UBE OF NO Or APPROVA S
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I HEREBY STATE THAT THE FORMATIO GI N IB COR- INSPECTO BBIGMATURE GATE
RECT FOUNDATION LOCATION
SIGNATURE OF FORMS MATERIALS
APPLICANT FRAME FIRESTOPS
BRACING BOLTS
ADDRESS FURNACE LOCATION
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAB VENT DUCTS �-
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT ^ ��--
AND AGREE TO COMPLY HALL COUNTY ORDINANCES LATH INT
AND STATE LAWS TINO BUIL ONSTRUC- I
TION 7TH EXT
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ITT PLASTER INT
ADDRESS - PLASTER EXT
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AUTHORIZED AOT HOUSE
OAND POSTED RECT(� IA?
^ RELOWTIDN APPLICATION
FINAL f
VALUATION FEE $10 OO
TRIET ENGINEER
FEE $ WORK COMPLETED CIS
SURETY BOND V
vwsTs Des vs v-el FEE $ RELEASED
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