HomeMy Public PortalAbout4926AGNES AVE_Building (2) 76A636A-D66.3 8.88
APPLICATION N FOR BUILDING PERMiT g
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DIVISION OF BUILDING AND SAFETY BUILDING 41 2 i '75
Department of County Engineer ADDRESS
County of LOS Angeles LOCALITY L�
WM.J. FOX. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. 4,1 Z
DISTRIC NO.. GROUP SEWER MAP
TYPFOR A.PyPLICANT TO FIJBLDGS.
-7 I CONS I 'K-X7,5
BUILDING / MAP / STATE YES NO
ADDRESS /� �+ NUMBER HWY
LOT NO. USE ZONE SPECIAL
CONDITIONS
1 .
TRACT t ✓��6®
/jg/i e2 I NO. BUILDING EXIST.
SIZE OF LOT/(�'[✓ NOWSETBACK YARD HWY STREET NAME WIDTH
USE OF ,�»+.EXISTING BLDG. ° GFPR L. / oOWNER f ° P. L.IL
sC / / ,L
ADDRESS ! CI fV O TRACT DWELL. f UNIT
5 INDUSTRIAL
MA
L TEL. 1 DWELL. f UNIT
CITY C. I /_ NO. 6 PUBLIC BLDG.
2 DUPLEX f UNIT
ARCHITECT OR �` TEL. 7 ADDN., ALT.. ETC.
ENGINEER ``... 1 C O• 3 APT. UNITS
JJ L $ MISCEL.
ADDRESS Lr- G 4 COMMERCIAL
TEL. INSPECTION RECORD
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK +'A
NEW "" A_DD ALTER REPAIR DEMOLISH
SO. FT. �/ /} NO. OF / NO. OF
SIZE !l/sYffy STORIES FAMILIES
SE ST, T E
SIGNATURE OF '
APPLICANT APPROVALS
ADDRESS � r ,, _ DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION �
$
iLl
P. C. $ FORMS. MATERIALS
FEE FRAME: FIRE STOPS.
S. �-® BRACING.BOLTS
VALUATION FEE U �r FURNACE: LOCATION. ~
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT,DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.
AND STATE LAWS REGULATING BUILDING ONSTRUC-
TION. _ LATH, EXT. -�`"'-"'•'-'
SIGNATURE OFA, HOUSE NUMBER COR- V
PERMITTEE RECT AND POSTED - A
ADDRESS FINAL ����� `h--•L�'C:J�%.�—a`�
WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM.CHIEF BLDG. INSPECTOR
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7 9 2 4 SEP 14 1 8.0 0 �