HomeMy Public PortalAbout5135 SULTANA AVE_Relocation__ APPLICATION FOWRELOCATIONl B�CIILDING PERMIT
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DMSION OF BUILDING AND rEiY BUILDING 5/3S (
Dopo�eat of County EufyEE00� AD RESS
County of 149 Angeles
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DATE INSPECT R 9 SIGNATURE
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PRESENT FORMS MATERIALS 11 (p0
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BUILDING _ BRACING,BOLTS
UBE OF ED I FURNACE LOCATION
BUILDIN GAS VENTS DUCTS
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OVERING &C-10 COVERINGHOUSE NUMBER COR-
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1 HEREBY STATE T T TH=INFORMATION IS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
CORRECT APPLICATION AND STATE THAT THE ABOVE IS CORRECT
SIONATU RE OF L AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
APPLICANT AND STATE LAW R TING BUILDING CONSTRUC-
` TION �
ADDRESS ✓ �� '� SIGNATURE OF
PERMITTEE
VALUATION $ i$ F C s
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