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HomeMy Public PortalAbout4835AGNES AVE_Building (3) ©S`76A636A CE NBO:jIREV.6/71V l APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS ' BUILDING .�!. ADDRESS .+,/f4 �f LOCALITY NEAREST CITY ZIP CROSS ST- L NO.OF BLDGS: ASSESSOR SIZE OF LOT NOW ON LOTMAP BOOK PAGE / DISTRICT GROUP TYPE LlloRPROC SEDTRAC c ,"Z;7 3 BLOCK OT NO. esIS �) CONST. N i� TEL �. s{ OWNE NO. ,T STAIISTICALCLASSIFICATION SEWER 71 ADDRESS CLASS NO. � ELL,UNITS BK PG CITY ZIP ���!. ARCHITECT OR TEL. VALUATION �/ �� 6d' ENGINEER NO. J ADDRESS BLDG,SETBACK FROM d EL FRONT PROP.LINE OF (STREET) CONTRACTOR N HIGHWAY. + .YARD = TOTAL SETBACK FROM TYPEOF EXISTING FRONT PROP.LINE HIGHWAY .WIDTH ADDRES O.' LIC. + CLASS6;J` CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF )STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SONO,OF NO.OF CHECK + _ U SIZ FT STORIE FAMILIES ONE as DESCRIPTION OF WOR NEW ❑ P.C. Fee$ Permit Fee f ADD. ❑ Issuance Fee ALTER REPAIR ❑ Total Fee NJ j USE OF ❑ EXISTING BLDG. X41 ea-5-,4, DEMOL z APPLICANT TELA (PRINT O �^ N Q BY(SIGNATUR > I HEBV OWLEDGE THAT HAVE READ THIS APPLICATION AND STATE Y THAT T VE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES uVi AND LAWS REGULATING BUILDING CONSTRUCTION,I CERTIFY THAT IN DOING THE _ WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF 6J THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEMS COM- Z PENSATION INS CE. g d SIGNATUR OF PER ITT A ADD S /�j Z CITY ra / NOTEL� tom% Q USE ZONE MAP GQ � NO. ;? SPECL4t ►- CONDITIONS FINAL /p BY DATE ./ b