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APPLICATION FOR BUILDING PERMIT s� Z
DIVISION OF BUILDING AND SAFETY BUILDING
Department of County EBginesm ADDRESS
County of Los Angeles LOCALITY
WM J FOX COUNTY ENGINEER
CASSATT D GRIFFIN, SUP T OF BU IIDmo NEAREST
CROSS ST
FOR APPLICANT TO FILL IN DISTRI NO GROUP TYPE SEWER MAP
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BUILDING ^T CONST
67
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NUMBER 0 HAT ��
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ENGINEER NO 3 APT UNITS 7 ADDN ALT !TC
ADDRESS t 4 COMMERCIAL 8 MISCEL
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INSPECTION RECORD
ADDRESS / OI_R GI u aaT .l O a T'
DESCRIPTION OF WORK
NEW ADD LTE" REPAIR DEMOLISHKI_A�.+ LJ IL1 17 LAD
SO PT NO OF NO OP —1.7L USE SI E
STORIES FAMILIES II D T a S aT'9 ♦fT3
USE O S RE y 1
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS ,(/J/p It/ �, e2 1 DATE INSPECTOR S SIGNATURE
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00 FES ' �� 00' PFORMS TMATEROIAL6IO ILU.�
FRAME FIRE STOPS r
VALUATION S �p BRACING BOLTS S I-
FE FURNACE LOCATION
GAS VENT DUCTS' S
I HEREBY ACKNOWLE E THAT 1 HAVE READ THIS
APPLICATION AND ST HE ABOVE 18 CORRECT
AND AGREE TO COMP W A COUNTY ORDINANCES LATH INT
AND
N STATE LAWS G TIN UILDIN CONST C- ti
LATH, EXT `
SIGNATURE OP NOUS!NUMBER COR.
PEAYITTEa RET AND POSTED
ADDRES � .9 FINAL
wx L FOX. CIO"" r.,NOu"m VALIDATION
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DEPUTY
BY BY
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7G 36A DGG.i 11 W
APPLICATION FOR BUILDING PERMIT Z
DTVIBION OF BUILDING AND SAFETY BUILDING
D,PG[IRGDI al County E �� ADORE88
COIID7 of LOS AIISGIGS LOCALITY
WM J FOX COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN.SUP T OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN DISTRICT5 7NO , TYPE SE BER MMP
BUILDINp //JJ T CONST
ADDRESS MAP n STATE yE1 N
` NUMBER I HWY
LOT NO Arwlw -!/O� LOCK USE ZONE , SPECIAL
A_1 CONDITIONS
TRACT `.�sA�/7�//� OOQ
OF SLDG
SIZE OF LOT�yS�il��/ I NOW ON LOTS BUILDINGEXIST
USE OF ;ARDWY STREET NAMESETBACK WIDTH
EXISTING BLDG 411 FRONT
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OWNER40S S00,# HIDE
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ADDRESS NJIY l4iY
TEL i DWELL I UNIT S INDUSTRIAL
TY // L NO -
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2 DUPLEX UNIT- B PUBLIC BLDG
ARCHITECT TEL
ENGINEER NO 3 APT-UNITS 7 ADDN ALT ETC
ADDRESS 4 COMMERCIAL B MISCEL
TE
CONTRACTOR _ ., 1' NO� - INSPECTION RECORD
ADDRESS 111010
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
" 'T
NO OF NO OF
91,6 STORIES FAMILIES
USE OF STRUCTURE
Q
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS QO O / / DATE INSPECTOR S SIGNATURE
S P C. S FFORMSTION MAT RIIALSION
71 n p� FEE FRAM
D EE STOPS
S �1
VALUATION vD BRACING BOLTS
FEE �� FURNACE LOCATION.
pAB VENT DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT
AND STATE LAWS REGULATING BUI ING CONSTRUC-
TION
ONSTRUETION LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE p RECT AND POSTED
ADDRESS � o / ' FINAL
wM. J. FOX. Coumw 6MGIM!! VALIDATION _I
BY • - DEPUTY �U-5� B 14 / }� -•O O DEPUTY
BY BY v
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