HomeMy Public PortalAbout5414 SULTANA AVE_Relocation__ APPLICATION FOR RELOCATION BUILDING PERMIT 1
IDIVISION OF BUILDING AND SAFETY BUILDING
�- D[pmfmMl o! Conatp Engineer ADDRESS
TGA[f[ COjlGIRIFFIN
of Los A 901"
D[FT[ WM J COUNTY ENGINEIIR LOCALITY /
1[l4 CASIIATT D SUP T OF BUILDING CO88sFOA AANT TO FILL IN DISTRICT NO GROUP TYPE CON C q
PROPOSED \•
ADDR INC U NUMAP MBER ¢HWY YES t
LOCALITY USE ZONE SPECIAL f_� As�s9 j d,J
PRESENT ^ CONDITIONS I �"!
BUILDING
ADDRHS
O N P
LOCALITY BUILDING
SEET13ACK YARD HWY STRE NAME WIDTH Y
OWNER IA 1161.1P FRONT
P L
MAILSIDE
ADDRESS p L LUOL
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MOVING T!L S11 `• [DY
CONTRACTOR
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ADDRESS
CONTRACTOR /VNO APPROVALS
qqO V r[ V a rT 9-f �'ETA-hr INSPECTORS m6NATUR
ADDRESS
PRESENT FFORMBTM MATERIALS
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BUILDUSE OFINO e
FRAME FIRE BTOPS`S
PROPOIIfiD BRACING BOLTS -
USE OF FURNACE LOCATION pp I
BUILDIN OAS VENT,
DUCTS 1'I^1«/-
LATH INT I✓pV opNo OF,
6 ZE SO ROOMS STORIES / LATH EXT
WALLROOF HOUSE NUMBER COR-
COVERINGjt
COVERING _LEGAL
RFCT AND POSTED
DESCRIPTION LOT NO J� I BLOCK 0 FINAL
,rN / rd "/ DISTRI GR
TRACTWORK COMPLETED /T
/y NO OF BLDOH
SIZE OF LOT A NOW ON LOT SURETY BOND fi
USEOF NO or RELEASED p It�'I
(STING BLDG I FAMILIES 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
1 HEREBY STATE THAT THE INFORMATION GIVEN IS COR. APPLICATION AND STATE THAT THE ABOVE IB CORRECT
RECT f AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
SIGNATURE O AND STATS LAWS REGULATING BUILDING CONSTRUC-
APPLICANTION
e SIGNATURE OF
PERMITTEE
VALUATION
S P C. S
!7 O O �J FEE ADDRESS
FEE EILI
WILLIAM J.FOX.COUNTY ENmNmI VALIDATION
BY Le 5 5 8 7 rte, APR 2 3 ofi 5 A 1 5.0 ( YA FW DEPUTY
By � I .A%6027 -; MAY 1 6 A 1200 M
DEPUTY /y _ _ ��� DEPUTY