HomeMy Public PortalAbout4516 TEMPLE CITY BLVD_Certificate of Occupancy__ APPLICATION FqR OCCUPAN"IPECTION
COUNTY OF-LOS ANGELES • BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS r
4516 Temple City Blvd. LOCALITY
..,. Temple City,,'lt , Ga. a,.91780 NEAREST
CROSS ST
DoT• ASSESSOR
MAPBOOK PAGE PARCEL
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EIome Food Service Ro` 443-932 °O9608 Lower Azusa Rd. NE MAPNO
TrTemple City, Ca.' „91780 SPECIAL
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OF
a o. CONDITIONS O
.� a OCCUPANCY GROUP
.eiwO V$CaIIt AS VERIFIED OCCUPANT
LOAD
EXIT HARDWARE
NO OF EXITS NO SPEC KNOWL ❑
PANICDEVICES ❑
PARKING REO'D PROVIDED
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FINA . CSI B� �(j1'✓
DATE� ;;100 O )
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PERMIT FEE ithln the scope of this inspection
tM Bulltlmg O/T101al may approve
ISSUANCE FE minor corrections or alterations
of an existing structure involving
' TOTAL FEE work of a building, Plumbing
.w O,eeaO wwn occ ./n/ mechanical Or electrical nature
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 'y—ZS- �k�'""^ APPLICATION VALIDATION
-APPLICATION AND STATE THAT THEB E IS COR n Q
RECT ,
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