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.....EA EE o-lW Z9J APPLICATION FOR BUILDING PERMIT _ ;•
COUNTY OF LOS ANGELES BUIL
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DEPARTMENT OF COUNTY ENGEER ADDRESS it?
BUILDING AND SAFETY DMSION LOCALITY 4c C/T
JOHN A LAMBIE COUNTY ENGINEER NEAREST �L��(-d` S
WILLIAM A JENSEN BUP T OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN D1$ R15 TYPE P
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BUILDING STATISTICAL C 5 ATION ER MAP
ADDRESS 1 OEG
p CLASS NO DWELL-UNITS Bim" e
LOT NO�O 7/OATQfLOTSB-I'f1SSJ0N BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED
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SIZE OF LOT�j(/So 1.53• NOWOF ON LOTS It NO �� ICIRCI I STATE MAJO ECOND LOCAL
USE ZONE SPECIAL
USE OF
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EXISTING BLDG
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BUILDING EXIST
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ADDRESS Cj V / e Bhp /IF•/�6 `LTJ FRONT 461
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ARCHITECTOR TEL PL V } '
ENGINEER SE NO SIDE
ADDRESS ✓ P L �TEL / / J O
CONTRACTOR �J��, ��NO ' ' / M'
ADDRESS ' 00
DESCRIPTION OF WORE
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NEW ADD ALTER REPAIR DEMOLISH
SO NO OF NO OF �LY�
51ZE Q (� STORIESI FAMILIEUSE OFS
STRUCTURE DGN TI�✓� S7vy /�'oai"!
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SIGNATURE OF
APPLICANT
VALUATION $ ` /
LOI• � APPROVALS DATE' Iry V6CTOR6 IG WiuFE
PC PMTFOUNDATION LOCATION
FEE 3 FEE S= FORMS MATERIALS f
FRAME FIRE STOPS _
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION fYI 5�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS V
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING TME WOPK _��
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH TINT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT I
ING TO WORKMEN 8 CO• fM1Gb TFIM LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENG
PLAN CHECK VALIDATION CK MO CAR„ _ PERMrr VALIDATION CK M. CASH
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