HomeMy Public PortalAbout4937AGNES AVE_Building (4) i
r Ems, DEPARTMENT OFA COUNTY ENGINEER r�
DIVISION"OF BUILDING-AIM SAFETY ---
p� -COUNTY OF LOS ANGELES
WILLIAM J FOX COUNTY ENGINEER APPLICATION" ,
CASSATT D GRIFFIN SUP T OF BUILDING t I` Y
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FOR APPLICANT TO FILL IN i FOR, OFFICE,USE_ONLY „
BUILDING DISTRICT NO 'PLANCK OR RE c No PERMIT NO?
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LOCALITY,, RECEIVED BY DATE OF APP- DATE ISSUED
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-BUILDING
OWNER ADDRESS i IJ 3
ADDRESS r i y fI 0 MAIL S � I LOCALITY i Y � 1
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ARCHITECT OR TEL` — FIRE } NO OFTYPE— GRO Pr
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CONTRACTOR NMOL f OUSE APPROVED �� j / v1
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DESCRIPTION - QLOT NO 1 BLOCK `r { ,
TRACT' �-I 0 CORRECTIONS "' f
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NO OF BLDGS
SIZE OF LOT�) /2 NOW ON LOTS
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EXISTING BLDG �tlFA OF , �._Y
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4 DESCRIPTION OF WORK ' b �fT 57 o
NEW " ALTERATION
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SIZE ROOMS STORIES " a
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APPROVALS ?
INSPECTOR S SIGNATURE DATE
5 it 4 FOUNDATION LOCATION
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FORMS MATERIALS
1 HEREBY„ACKNOWLEDGE THAT-I HAVE READ THIS AP FRAME FIRESTOPS
PLICATION AND STATE-THAT THE INFORMATION GIVEN IS BRACING BOLTS
I y 'CORA REE TO COMPLY�WITH ALL�COUNTY ORDINANCES- FURNACE LOCATION
AND STATE LAWS REGULATING,13UILDING CONSTRUCTION GAS VENT DUCTS
r SIGNATURE OF s Y LATH INT
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LATH EXT
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VALUATION w r + -
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