HomeMy Public PortalAbout4833, 4825AGNES AVE_Building (14) ®s 76A638Af
CE 11803(REV 11/78)
APPLICATION FOR BUILDING PERMIT
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COUNTY OF LOS ANGELES _ BUILDING AND SAFETY
FOR APPLICANT TO FILL IN _ + ADIDRESS Z /�
BUILDING .�,/ t J
ADDRESS LOCALITY l
y100, NEAREST -
CITY C// ZIP CROSS ST 6
NO OF BLDGS ASSESSOR i
SIZE OF LOT Q NOW ON LOT MAP BOOK- I r ; I PAGE r « PA EL yt
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TRACT BLOCK4r/�I LOT NaO J L CONST ZONE
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G//�r� ori STATISTICAL CLASSIFICATION- SEWER MAP
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ADDRES 7 -10 / 1J} ,116 - CLASS NO 0 DWELL UNITS-zJ5 BK PG
ZIP
ARCHITECT OR TEL VALUATION-$
ENGINEER - NO
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ADDRESS ., _ BLDG SETBACK FROM
TEL FRONT PROP LINE OF (STREET)
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CONTR R - NO�yb Z8ct3 HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
LIC
FR NT PROP LINE HIGHWAY WIDTH
ADDRESS /�/y,E NO y 1
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CITY CLASS _ BLDG SETBACK FROM
CONSTRUCT] LENDE r i i )STREET)
(� � Sf� SIDE PROP LINE OF
NAME A � �
HIGHWAY_-
+F YARD TOTAL SETBACK FROM TYPE OF EXISTING 0
Awo b �� _� X16 = SIDE PROP LINE HIGHWAY WIDTH
SQ FT NO OF / NO OF CHECK
SIZE/46de STORIES / FAMILIES " `ONE s 0
n USE ZONE MAP
DESCRIPTION OF WORK $ NEW n�INo
5 v SPECIAL /
�/oVe ��. ADD ❑ o`O ti CONDITIONS w y�j
ALTER El R- ❑ DATEUSE F
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REPAIR-
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EXISTTIING BLDG DEMOL-❑ _e I — � C
APP RANT JEOL �7y-
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BY(SIGN k
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I HEREBY ACKNO DGE THAT I AVE AD APPLICATION A D TATE Y
THAT THE ABOVE ORRECT AND GRE O C PLY WITH ALL ORDINANCES," / tj� f� _
AND LAWS REGUL TING BUILDING ONST UCTION I CERTIFY THAT IN DOING THE d
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM z 0-9935A 9935A
PENSATION INSURANCE -
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SIGNATURE OF
PERMITTEE 2032,350
ADDRESS
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TEL O o 0 ')93503:
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CITY NO r C
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PC Fee$ Z�� / Permit Fee .3111 ,5-o >
Issuance Fee 7
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Total Fee 3�3� S
Q 6 1