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HomeMy Public PortalAbout5928 AGNES AVE_Building__ ' AP(PI ICATI N FO:R.BUILDING PERMIT j FOR APPLICANT TO FILL,IN -(Print or type only) _ COUNTY OF LOS ANGELES BUILDING �� !' . DEPARTMENT OF COUNTY ENGINEER CITY ' .� ZIP BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING SIZE OF LOT NOW ON LOT ' J ADDRESS TRACT i BLOCK LOT NO.�dr�c (i LOCALITY TEL. , NEAREST - OWNER NO. �-�1L CROSS ST. ASSESSOR ADDRESS �` j ` // ppf MAP BOOK PAGE PARCEL ZIP 9! �U L/ DISTRICT GROUP TYPE FIRE d2ESSED BY -CITY Q CONST. ZO ARCHITECT OR TEL. i J� - . ENGINEER NO. STATISTIC AL CLASSIFICATION SEWE MAP ADDRESS CLASS NO. �` DWELL.UNITS' BK PG CONTRACTOR � e V Dej^NOTEL. 9 2 Fig U ONE NO LI ADDRESS �I .Z SPECIAL �� LIC. CONDITIONS CITY'. ejdlCLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTOR LENDER } NAME AND BRANCH w BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) SQ.FT. ADDRESS �� ITY E^��Llf _ T AL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD SQ.FT. NO.OF NO.OF j CHECK - FRONT PROP.LINE HIGH AY WIDTH SIZE jj/ STORIES I FAMILIES f ONE / > DESCRIPTION OF WORK NEW ` + MoD O DD ❑ BLDG.SETBACK FROM (STREET) CY O !! SIDE PROP.LINE OF � p ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w !J O© HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH USE OF REPAIR ❑ Z EXISTING BLDG. C� r DEMOL 13 + APPLICANT . TEL 3 / i CORNER CUTOFF YES ❑ NO ❑ (PRINITI i �' avf �('(/NO.G�(vL�I IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ Qd IHEREBY.ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PE ON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN ELATI TO WORKMEN'S COM- PENSATION INSURANCE. SIGNATURE OF PERMITTEE ADDRESS �✓"` �� ' �0 0 FINAL l 'ql BY -q CITY P�fAle L'.1:L NO. '6 DATE MAKE CHECKS PAYABLE TO: FEE $ e X ! FET $ �p 00 HARVEY T.BRANDT,COUNTY ENGINEER / ,Q PLAN CHECK VALIDATION �_raE--�M.O. CASH PERMIT VALIDATION CK. M.O. CAS f 328:: r, , EI 23 D 156.6 D A- 7 �( s 5 0'r"0_0EC 14 1 U 2 6 1.0 0 A:9b, ®S 76A638A CE#803 3-75 — — -- "