HomeMy Public PortalAbout5703 AGNES AVE_Building__ I
DEPARTMENT OF COUNTY ENGINM
DMSION OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES BOUILDING
WILLIAM J FOX COUNTY ENGINEER APPLICATION `
CASSATT D GRIFFIN SUP T OF BUILDING
FOR APPLICANT TO FILL IN � FOR OFFICE USE ONLY
ADDRESS a C s r D19TR C O 'PLAN CK�RecNo M1
T NO
BUILDING (l
LOCALITY
RECEIVED B I DATE OF APPL �D IS j
(% t `may
NEAREST
CRO88 ST BUILDING�'14213
OWNER .qe /el ADDRESS ,�
MAIL ��� LOCALITY
ADDRESS NEAREST'
CITY 4M C /&
TEL
CROSSST
ARCHITECT OR TEL ZONE I I PLANS— I TMPFi-�-fs GROUP
ENGINEER NOBLDG
ADDRESS A SETBACK LINE
TEL
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CONTRACTOR USE _ APPROVEDOP
NOf/ BY st DATE
/�► HOUSE NUMBERING +
ADDRESS /� /m` & A/ ,& 1r
LEGAL5 ✓ 6 I MAP NUMBER'��`� NO ASSIGNED BY S r
DESCRIPTION LOT NO
BLOCK
TRACT / /t 6. -7 6 e 3 �-3� -2,112,;4--. SECTIONS �r
{�
�f NO OF BLDGS
SIZE OF LOT NOW ON LOT
USE OFNO OF
EXISTING BLDG l / Ale_ I FAMILIES
DESCRIPTION OF WORK s '" oALTERATION
—
REP IR —I DEMOLITION I—I ADDITION
r
SO FT NO OF ,
SIZE ROOMS STORIES O
EXT WALL ROOF
COVERING J/ COVERING//4/"A/
l f
M/ COVERING AJ R
USE OF STRUCTURE
JAM v e
APPROVALS
INSPECTOR S SIGNATURE DATE
FOUNDATION LOCATION r
FORMS MATERIALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP FRAME FIRE STOPS v
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING BOLTS
CORRECT
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION
AND STATE LAULATING BUILD NG CONSTRUCTION GAS VENT DUCTS
SIGNATURE OFWS (0 LATH INT
PERM ITTE
/J P LATH EXT
ADDRESS 11z13 -
PLASTER INT
AUTHORIZED AGT
}��� PLASTER EXT
$ ,to ®® FEE E HOUSE NUMBER COR
RECT AND POSTED
VALUATION FEE
$
O® FINAL
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