HomeMy Public PortalAbout5836-5836 1/4 PRIMROSE AVE_Building__ L® I N BUILDING
ADDRESS
APPLICATION ' LOCALITY
NEAREST I /1
DIVISION OF BUILDING AND SAFETY CROSS 8T.
Wpartment of County Engineer DISTRICT NO. RECEIPT NO- PERMIT NO.
County of Los A>tigelm Z 7 G S
WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN TYPE CONST. REC IVED BY ISSUED MYOF
OWNER A e F C�IIR'_ E
MAIL �/3 NUMBER d 21T WY
ADDRESS hAelL
UBE ZONE SPECIAL '
TEL. CONDITIONS '
CITY .o s,s+,�
ARCHITECT OR TEL.
ENGINEER. NO.• BUILDINGID
EXIST.
�- SETBACK YARD HWY STREET NAME T
:WTH
ADDRESSTEL
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CONTRACTOR/'�yL�`� 3�p� JB/� LTG�+-�J�f� P!
L.FRONT
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A DRESS �° /�?� 1+J!!'F.. �JU�
DATE CORRECTIONS
INSPECTOR
BUILDING _93(ADDRESS
LOT NO. �/! BLOCK � ���`M. � ���•'����
TRACT �r''''�j
NO.OF '�T
LD
SIZE OF LOT ,j far j ,� I NOW ONBLOTGB. 1
USE OFC'
EXISTING BLDG.
D SCRIPTION OF WORK
NEWADD ALTER REPAIR DEMOLISH 'y
SO. NO.cr 'NC*8 ZE J�+016 .TOR EB ^ FAMILIES
r
USE OF STRUCTURE
%//_c?r)
NO.OF
EMPLOYEES '
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS-AP- P
PLICATION AND STATE THAT THE INFORMATION GIVEN 18 APPROVALS INBPECTOR'8810HATURE DATE
CORRECT!
I AGREE TO COMPLY WITH -ALL COUNTY ORDINANCES ' FOUNDATION: LOCATION
AND BTATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS.MATERIALS
FRAME, FIRE;STOPS,
SIGNATURE OF /! 1' BRACING,BOLTS
-PERMITTEE �.r?_�A... st_ r•sr- �:_,
- FURNACE. LOCATION!
GAB VENT,DUCTS
ADDRESStA_ _.
LATH. INT.
'AUTHORIZED•'AOT
LATH! EXT.
"e-a. P.C.It ,pper� . HOUSE NUMBER DOR-
.-_ FEE �zf RECTAND POSTED
VALUATION !0 .
FEE FINAL
76A638A OB8 3 4-64