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'NUMBER STR ET
APPLICATION FOR A •
BUILDING PERMIT '
BUILDING & SAFETY DIVISION
CITY OF ARCADIA, CALIFORNIA
0
OWNER TEL..NO
f-' .l.i = 5 Ly V'7a/t/ «/ , 75-ch 2
MAILING
3.G oR/v4e/✓/, iyf/I ; .g2c40/.
ARCH. TEL.NO.
t TJ ENGR.
CONTRACTOR STATE LIC.NO.
G' l'f.J/Y reit .
CD MAILING ADDRESS CITY LIC.NO,
C
1 r0 CITY • TEL.NO.
1.-
. DESCRIPTION OF WORK
03 NEW ❑ ADD'N 0 ALTER 0 REPAIR 0 DEMOLISH ❑
FLOOR AREA NO.OF - NO.OF DWELLING
(SQ.FT.) STORIES UNITS
PRESENT BLDG.USE PROPOSED BLDG.USE
•
I-1 DESCRIBE WORK///���i
W TO BE DONE_/ ;?K-, "37'71/Al.
o E: PROVIDE PLOY PLAN ON BACK SIDE OF ORIGINAL COPY ONLY
► EXTERIOR WALL MATERIAL ROOF FRAMING MATERIAL,
1 /11.1710 /---. /1: . r4G. .
PARTITIONING MATERIAL ROOF COVERING MATERIAL
E4 t;7,41- /'Mr' .L_,
LOT LOT NO.OF EXISTING
WIDTH DEPTH BLDGS.ON LOT
VALUATION NOTE: Include Labor, Mat., $ yffhyo
Wiring, Plumb., Heaf, Efc. 1 /C!C J
INF RM TION PROVIDED BY BLDG. SECTION '
LOT BLOCK IF c�
NO. NO. TRACT f
USE em/FIRE J OCCU- SEC.
ZONE V ZONE / FANCY SH. CO
REQ'D FRONT RIGHT SIDE LEFT SIDE REAR m
SET OF
BACKS u
TYPE OFSPECIAL F
CONSTR. CASE NO. NO GRADE Z •
0
Approval&Information by Others u
CITY ENGINEER • EASEMENT
DIST.FACE OF SEWER DRIVE
CURB TO P. L. FT. AVAILABLE - OVER.
PUBLIC SERVICE PLANNING PLAN CK.FEE
T��
WATER ELECTRIC PERMrII�'T FEE
PLAN NO. CHECKER'S APPROVAr7V
•
I ha ,.,&carefully read and examined the above application and find the
sam to be true and correct.All provisions of the Laws and Ordinances .TOTAL FEE
governing building construction will be complied with wh her speci• % /�ry
.
fied herein or not. ,o person s all he employed i violet' o the Labor r`7 V
Code of the State o : ifornia. agree- not to o c py o allow occupancy
of any bui ding . t,r ed b is permit out' •in I uildi inspection ha een receive(
�/ 66 SIGNA URE OF OWNER OR AUTHORIZED AGENT •
PERMANENT
FORM B-51 (REV.7-61) 21/2M 0e ' ' -