HomeMy Public PortalAbout4938AGNES AVE_Building tl,•-..,_.� DEPARTMENT OF COUNTY ENGINEER �'- '' —`
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DIVISION OF BUILDING AND SAFETYB U I L 1 w"'I "No"
COUNTY OF LOS ANGELES
WILLIAM J FOX COUNTY ENGINEER APPLICATION "
CASSATT D GRIFFIN SUP T OF BUILDING i
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO PLANCK OR Rec No PERMIT NO
BUILDING �
ADDRESS
LOCALITY RE7=�'
. DATE OF APPL DATE ISSUED
NEAREST �. Py �' � / -✓3
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ENGINEER NO } 1T�
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SETBACK LINE L C/ G�
TEL USE APPROVED I
CONTRACTOR NO ZONE /� BY DATE
ADDRESS HOUSE NIUMBERING
LEGAL MAP NUMBER Z Q1 V) -i—NO ASSIGNED BY
DESCRIPTION I LOT NO ` / BLOCK I CORRECTIONS
TRACT
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SIZE OF LOT� D 1G/ 14 I NOW ON LOTOF BLDGS 1
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DESCRIPTION OF WORK a -
NEW I� ALTERATION �J__ADDITION Y G)
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REPAIR DEMOLITION Y
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SIZE /'� d�- I STORIES
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USE OF STRUCTURE
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APPROVALS
INSPECTORS SIGNATUR DAT
FOUNDATION LOCATION 4
FORMS MATERIALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP FRAME FIRE STOPS
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING BOLTS a Pl r
CORCT
A REETO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION l/g
AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT DUCTS lip
SIGNATURE OF ATH INT 30� Ir
PERMITTERtIJ� v
ATH EXT
ADDRESS /
PASTER INT
AUTHORIZED AGT
PASTER EXT
EXTq. FEE S HOUSE NUMBER COR
RECT AND POSTED
VALUATION FEE $ FINAL
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