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ISA888A CE#00810-BB APPLICATION FOR BUILDING PERMIT - 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS '
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST rJ
CASSATT D.GRIFFIN,SUIT OF BUILDING CROSS ST. /
DIST R O. GR_OPUP. TypE P Y
Ira
~FOR APPLICANT TO FILL IN !_, I CONST. '
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS.NO.�ffDWELI•..UNIT B _
LOT NO. 'e . BLOCK MAP STATE YES O
NUMBER HWY.
TRACT / D . USEZONE SPECT
NO.OF.BLDG CONDITIONS
SIZE OF LOT I NOW ON LO B�7 P'
USE OF
EXISTING BLDG. BUILDING YARD HY WSTREET NAME EXIST.
n SETBACK WIDTH
OWNER r ys a J s FRROLNT lMAIL 1
ADDRESS S (/'P SIDE
4 'P.L.
CITY H
11 E INSPECTION RECORD =
ARcH4TECT OR TEL.
ENGINEER - NO.
P ADDRESS H 3 ..
7• '7 !/ � •/��?'l�/_O_'TE"
CONTRACT �^.r �/� J� g�
Aleve i IP146` 1/ ,9 �1_71c '
ADDRESS
DESCRIPTION OF WORK
fD Jl�/
NEW ADD ALTER REPAIR DEMOLISH'
SQ.FT. / NO.OF NO.OF J 1l I K 1W 811"A/'7
SIZE f9 STORIES FAMILIES[ _
USE OF
STRUTORE 7! °1
-47 � -s� � Cly � /liYfL/BIlE To �G7'
SIGNATURE O F(JRNfJ�E Ale h_�7p. 3,11ir
APPLICAN APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION:LOCATION
FORMS,MATERIALS
VALUATION -�__ _ - F13AME:FI RE STOPS.
BRACING,BOLTS
FEE T9C FEE' 8 I FURNACE
GAS VENT,DUCTS N.
I,HERE Y ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
ION AND STATE.THAT THE ABOVE IS CORRECT AND
AGREE TO COMP WITH ALL COUNTY ORDINANCES AND ry
SIGNTURE GULATIN BUILDING CONSTRUCTION. - HOUSE EXT.
NUMBER CORS / y3� �fTSTR '
t /�-
PERM(TTE
RECT AND POSTED aS0 ( CFy�
ADDRE FINAL
CLYDE N.DIRLAM.PRINCIPAL STRJJCWRAL ENGINEER
PLAN CHECK VALIDATION �K M.O. CASH PERN1iT VALIDATION �� M.o. CASH
3871On' OCT1323A- 24.00Ll . '
�, �4 2 0 5 u; OCT 2 0 1 A - 48-.00 �.