HomeMy Public PortalAbout4833, 4825AGNES AVE_Building (10) ®s 76A638A
CE N8D3(REV 11/78)
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APPLICATION FOR BUILDING PERMIT
.._ COUNTY OF LOS ANGELES _ BUILDING AND SAFETY f +,
BUIL ING
FOR APPLICANT TO FILL IN ADDRESS
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ADDRESS Q33 �S _ LOCALITY
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CITY / ZIP CROSSST
NO OF BLDGS ASSESSOR
SIZE OF LOT 97,0470 NOW ON LOT 6 MAP BOOK PAGE- PARCEL
mss/ /B;� DISTRICT GROUP TYPE FIRE PROCESSED BY
TRAC37 C4-XZ BLOCK LOT N6 � .�./ rtD CONST ,, ZONE
OWNE �/� w /`r �� i OO el �JL- �` _3 t
_ STATISTICAL CLASSIFICATION SEWER MAP
ADDRESeIXZ4 1 iV-/� CLASS NO DWELL UNITS BK/ PG
CITY ALekgg6d ZIP _
ARCHITECT OR TEL VALUATION $ 7,0
ENGINEER NO �*
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ADDRESS _ BLDG SETBACK FROM
FF��,�� FRONT PROP LINE OF (STREET)
CONTR �'� N 45 e_8 TOTAL SETBACK FROM TYPE OF EXISTING ..
s LIC HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH f
ADDRESS NO _
LIC +
CITY CLASS
CONSTRUCTION ER BLDG SETBACK FROM 1 r!
�� SIDE PROP LINE OF (STREET)
NAME AND B w" .r
TOTAL SETBACK FROM TYPE OF EXISTING d
A ♦ O �� Y `� IGHWAY + YARD = SIDE PROP LINE IHIGHWAY WIDTH Q
SQ FT NO OF F40 OF CHECK + _
SIZE STORIES FAMILIES ONE r 0
USE ZONE Pmt `
DESCRIPTION OF WORK Z s - - NEW -� Q� OItLJ
ADD ❑ OD SPECIAL
_ CONDITIONS - c
ALTER J❑ FINAL BY
' REPAIR ❑ DATE
USE OF ❑ t t ff i
EXISTING BLDG DEMOL
APPLICANTdj�e TEL /� J Z v
(PRINT) G
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BY,t- Ad
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IHEREBY AC LEDGE TH I HAVE AD T PPLICATION AND STATE ],(� s m 4
THAT THE AB S CORRECT D AGR O LY WITH ALL ORDINANCES t id 1
AND LAWS RE ULATING BUILD) G CONST CTIO I CERTIFY THAT IN DOING THE _
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF _ �) A 9L9 31 A
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM -�iJ(/L� Z L
PENSATION INSURANCE /� l O 090 O O
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SIGNATURE OF r Z o554,50
PERMITTEE r
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ADDRESS w _ y Z oto 5,9 4„ O r, - t
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CITY ..NO C �w 041'6-80
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PC Fee$ Permit Fee
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Issuance Fee eke
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Total Fee