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HomeMy Public PortalAbout9022 JAYLEE DR_Building_11/30/1979_3/4 bath (2) ©s 76A638A CE#803(REV.1 1%78) COUNTY OF LOS ANGELES.. BUILDING AND SAFETY BUILDING / FOR APPLICANT TO FILL.IN ADDRESS /- BUILDING �j > �'• s� �7 ADDRESS... /.O G Z`.C, � LS' �. IC_ LOCALY C6� NEAREST CITY < 6 ARff[C ZIP. ji 7 S CROSS ST. .+ NO.OF BLDGS, ASSESSOR SIZE OF LOT X Z J NOW ON LOT , MAP BOOK PAGE. PARCEL h f G�` j 2 "' DISTRICT GROUP TYPE FIRE PROC SED BY TRACT- I BLOCK LOT NO._ J C frCCopt sl- zPk5 J 1J2f�t,�o. Cf,0`L� OWNER I"C f='ST '�✓ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS U 2 F'. J - �J? �f I`o V [� y CLASS NO. 1 DWELL-UNITS N` BK &PG'- CITY SYv.v-Cl'kl n,tf..` ZIP' . ARCHITECT OR TEL. VALUATION $ . ENGINEER NG. T ADDRESS BLDG.SETBACK FROM L C�(, FRONT PROP.LINE OF (STREET) CONTRACTOR Ui��1/ X.��'7!g N 'NO./QS`�I OT SETBACK FROM 'TYPEQF EXISTING . L'IC.• HIGHWAY + YARD 'FRONT PROP.LINE HI Y"WIDTH ADDRESSLIC�U v�Srr� Dn NO.�� G!t; ++ // + CITY V1 PL AIN 1) - CLASS 113 I BLDG.SETBACK FROM CONSTRUCTION LENDER SIDE PROP.LINE OF •(STREET) ; NAME AND BRANCH �.. HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING ®^' - ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH.-' SO.FT. NO.OF NO.OF CHECK SIZE �V STORIES FAMILIES ONE - Bol t ❑ U Z E MAP_•,. DESCRIPTION OF WORK b"ll, - - NEW n NO. , SPECIAL W ADD f/ CONDITIONS ' ' ( R ALTER FINAL REPAIR O DATE USE OF DEMOL ❑ EXISTING BLDG: APPLICANT TEL (PRINT) NO. ffi) q� O sBY(SIGNATURE) a IH EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND ST TE � •• THAT HE ABOVE.IS CORRECT,,AND AGREE TO COMPLY WITH ALL,ORDINA CES. ,..r -C/�. •uVi . : ,AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING HE V , WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN-S.0 z ,. _ ,• PENSA TION INSURANCE. vla_-;,,��-- 8'04,'5A SIGNATURE,OF PERMITTEE ° °.°'O 2 3 ..{ ADDRESS Z _ O 'o 000, TEL. CITY NO. 'o 0 0 0 a,o 0- P P.C. Fee$ Permit Fee 1 1,30-719 Issuance Fee a Lul Total Fee.