HomeMy Public PortalAbout5920 AGNES AVE_Relocation_1/25/1955_ DEPARTMENT OF ENGINEER APPLICATION FOR BUILDING
DIVISION OF BUILDING AND SAFETY ® � 1 ® lel
COUNTY OF LOS ANGELES
WILL lAtA J FOX, COUNTY ENGINEER f FOR OFFICE USE ONLY
A49ATT D GRIFFIN SUPT OF BUILDING
FOR APPLICANT TO FILL IN BUILDING O d J„
PROPOSED ADDRESS Gy3
BUILDING `.�Q.ZD /IG. , DISTRICT NO IREMEIVED BY DATEIREC D RECEIPT NO
ADDRESS
PRESENTY BUII..DIN APPLICATIO `J
ADDRE88 0�r PLAN CK NO PERMIT NO
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LOCAL TY
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TYIED-BY DATE OFAPPL DATE ISSUED
OWNER
MAIL USE ZONE NO OF T-YEL GROUP FIRE ZONE
ADDRESS D ' ! PLANS
CITY Za / LINO G�P330 �� ZONING I _ DATED
MOVING �! 11 TEL 'r APPROVED By w�{
CONTRACTOR 0 V 6 't a�y)t &NO BUILDING y l ORD NO
SETBACK LINE
ADDRESS HOUSE NUMBERING
BUILDING /��► y j +,TEL ` MAP NuwBER Q A8916NED BY
CONTRALTO ) �(/ /\/ NO
SURETY DATE REC D
ADDRESS BOND$ i FILED—BY—
PRESENT
ILED BrPRESEN /' CASH DATE S] ED
USE OF f/G ��� F DEPOSIT FILED Y
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PROPOSED MISC REcEIpT No
USE OF �T=�`� 4 FOR CASH DEPOSIT
,,BUILDING
' CORRECTTIONS
So FT NO OF C) 7- F
SIZE �0 X f3O ROOMS STORIESWALL ROOF
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COVERING D /4/ COVERINGI / ,D
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DESCRIP
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ION_ LOT NO BLOCK
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SIZE OF LOT I X NDWJUN LOT JC+
EXISTING
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ONE `APPROVALS
EX19TI BLDG /�- FAMIL INSPECTORSSIGNATURE DATE
1 HEREBY STAT THAT,
H INF ATION 1 IB COR
RECT FOUNDATION LOCATION �/v� 1
SIGNATURE OF _ FORMS MATERIALS
APPLICANT— FRAME FIRE STOPS,
T BRACING BOLTS
ADDRESH LO ! C FURNACE LOCATION
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS J GAS VENT DUCTS '
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY RDINANCES LATH INT
AND STATE LAWS REGULATING BUILDI CZD
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TION /��j (,.� b' �){ LATH EXT
SIGNATURE OF 1 / }
PERMITTE Z PLASTER INT
1
ADDRESS ��^�'� � �'��.a,� S PLASTER EXT
AUTHORIZED AOTHOUSE NO CORRECT
AND POSTED
{ RELOCATION APPLICATION FINAL
VALUATION $ FEE $1000 X DI$TRjCT ENGINEER
O
®� P C $ )
FEE WORK COMPLETEDN
SURETY BOND y S�
76A639 D8979 153y FEE $' �� RELEASED