HomeMy Public PortalAbout5533 WELLAND AVE_Building__ ,f
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APPLICATION LOCALITY
DIVISION OF BUILDING AND SAFETY NEAROHBREST
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Department of County Engineer D19T ICT NO. RECEIPT NO. PERMIT NO.
County of Los Angeles 7 79'
WM. J. FOX, COUNTY ENGINEER GROUP DATE RECE VED DATE ISSUED
CA
89ATT D. GRIFFIN, Hup'r OF BUILDING / /7_ 37
FOA
APPLIjCAN,T/�TO FIfLL IN TYPE CONST. RECEIVED BY SS ED SY
OWNER i�r i�61 /�E� l�t.J9�/�1Ys7 MAPs
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ARCHITECT OR TEL-
ENGINEER
ENGINEER NO.
BUILDING YARD NWY STREET NAME EXIT.
SETBACK WIDTH
ADDRESS /�p FRONT
CONTRACTOR � �Per NOL- P.L of(J
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ADDRESS/C ' v -' L d L 01"P P.L.
P _ ATE CORRECTIONS INSPECTOR
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LOT NO. J BLOCK
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TRACT /® f fJ
�r NO.OF BLOBS.
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BIZE OF LOT71X I NOW ON LOT
USE OF
EXISTING BLDG. S G s
DESCRIPTION OF WORK
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NO.OF
EMPLOYEES
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN 19 APPROVALS INSPECTOR'S SIGNATURE DATE
CORRECT. ` �A
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION �ZN/
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS /�fis'L iii
FRAME: FIRE STOPS, �j/ /�/� l / f
81GNATURE DF BRACING,BOLTS /ILGLvI�t/il�// /�.T
PERMITTE -
F GAS VENT,DUCTS LOCATION, � f✓W14t,�,
ADDRESS
dcr—O + LATH, INT. � ►LCiG�4-/ i ��J
AUTHORIZED AS
LATH, EXT.
P.C.S / -Ci 1J HOUSE NUMBER COR-
FEE RECT AND POSTED
VALUATION J :B -�FEE FINAL
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