HomeMy Public PortalAbout4818 AGNES AVE_Building_10/16/1951_66791 s
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DEPARTMENT OF BUILDING AND SAFETY y APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
WM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
�t er� D18TR NO �Z NCK1-2 NO PERMIT NO
G&7 5 J
BUILDING R/
ADDRESS
LOCALITY 1 RECEIVED BYk t DATE OFA PL DATR ISSUED
CROSSST 14-0� VISA BUILDING
NEAREST
ADDRESS 6 `V , � 4
CROSS ST
OWNER
MAIL LOCALITY T
ADDRESS NEAREST , �� A ,-V-
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TEL s
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CITY NO ® FIRE NO OF TYPEGROUP
ARCHITECT OR TEL ZONE -PLANS ��
ENGINEER NO BLDG / OIV Nq
SETBACK LINE 72,.Cr T L i , / '��f
ADDRESS APPROVED
TEL BY DATE
CONTRACTOR / NOUSE „1 APPROVED
ZONE // BY DATE
ADDRESS 7 HOUSE NUMBERING
LEGALQ�rmal
DESCRIPTION NO BLOCK s MAP NUMBER '2 V I (- FIELD CHECK BY
TRACT it WE NO ASSIGNED BY BATF
NO OF BLDG8 ; CORRECTIONS `
SIZE OF LOT NOW ON LOT JV17�./G.dTE Rr zc I.GMeAI
USE OF I NO OF _
EXISTING BLDG FAMILIES 3 g
DESCREPTION OF WORK _
NEW I ALTERATION I I ADDITION
REPAIR I I DEMOLITION
SQ FT NO OF G7
SIZEA&D ROOMS STORIES rZ
EXT WALL ROOF r
COVERING 4fala I COVERING CAS
USE OF STRUCTURE
I / S l' 9r D K
id
r APPROVALS
INSPECTOR S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP FOUNDATION LOCATION ����
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS MATERIALS d/ 2,r
CORRECT
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRE STOPS J�
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING BOLTS
LAWS REGULATING BU��LDING CONSTR&'16"
FURNACE LOCATION
SIGNATURE OF (/'r/ / _ GAS VENT DUCTS yI L \
PERMITTEE_l LL W
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LATH EXT
AUTHORIZED AGT
PLASTER INT
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VALUATION FEE S z r �� FINAL
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