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Home My Public Portal About4938AGNES AVE_Building (4) C� OF TEMPLE CIS 76A636A fE#�3 8 � ASPLICATION FOR BUILDING PERMIT 'r CCf�JNTY OF LOS ANGELES BUILDING C+� DEPARTMENT 'OF COUNTY ENGINEER ADDRESS .zy� BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS SUP T OF BUILDING CROSS ST DISTRICT NO G_ P I T PEP B FOR APPLICANT TO FILL IN vim'; © CONST'--/- BUILDING J//'/�/� //� STATISTICALC1, S IFICATION SEWER MAP ADDRESS �+J' u+ `/ BK PG CLASS NO DWELL UNITS LOT NO BLOCK- USE ZONEMAP ~� 1 NO TRACT SPECIAL V NO OF BLDGS [CONDITIONS SIZE OF LOT ✓1 NOW ON LOT USE OF EXISTINGBLDG SETBACK FROM TEL �// FRONT PROP LINE OF (STREET) 47 OWNER NO CJ TYPE OF EXISTING SETBACK GHWAY YARD = TOTAL ADDRESS / 14 HIGHWAY WI FRQM CC L + CITY A.G (✓ v �� ARCHITECT OR EL BLDG SETBACK FROM ENGINEER NO SIDE PROP LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS i HIGHWAY WIDTH FROM C L d TEL + = Q CONTRACTOR NO LIC 'r ADDRESS NO CORNER CUTOFF YES E] NO �911I 0 O F- CITY LIQ SEE REVERSE SIDE FOR SPECIAL APPROVALS w DESCRIPTION OF WORK �� Z NEW /-ADD ALTER REPAIR DEMOLISH SQ FT NO OF NO OF �'�,�,f• CS�P/A7t,�N- y� SIZE STORIES FAMILIES / 'Y &4R USE OF STRUCTURE r v If SIGNATURE O APPLICANT VALUATION L/ APPROVALS DATE INSPECTOR SSIGNATURE mm P C PMT 's�1yD FOUNDATION LOCATION FEE$ FEE$ / f(,/ FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA I4A-TW INT I Ql��' TION OF THE LABOR CODC OF THE STATE OF CALIFO NIA RE LAT ING TO WORKMEN SCOMPENSATION INSURAN /�I�/u� �2/9l�/�f JB�d.Cd✓" 644.T+Jd EXT t� SIGNATURE HOUSE NUMBER COR / t PERMITTEE RECT AND POSTED �r ADDRESS Fl NAL PLAN CHECK VALIDATION CK M o CASH JOHN F LEWIS PRINCIPAL STRUCTURAL EM D .J tN R PERMIT VALIDATION CK uTo7 6 8 5u,-., M, 1a 1 D 1 8 50N