HomeMy Public PortalAbout4948AGNES AVE_Building (4) ARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES 1 ® �
WM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILD (�J9 DISTRICTNO PLAN O CK NPERMIT NO
ADDRESS I "" � "vSi 9 /'7 ]le
LOCALITY 94401e RECEIVEffDr6Y DATE OFAPPL f'DATE/ISSUED
NEAREST
CROSS ST ADDRESS N'q1!/ P J�R R 13UILDING
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MAIL
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ADDRESS IQD I v Q Gam.' LOCALITY / /
NEAREST
TEL ��hh.{{ �/ CROSS ST L
CITY e /a° lam` NO 19 UA s
A/ FIRE NO OF TYPE GROUP t },
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ARCHITECT
O / /—�(� /✓ TEL / �j�/ ZONE ��'"'"" PLANS 5 ,�J
/] / J/(J�C l/ fn -/If F
ADDRESS Z/// !r/I �/jAI L y BLDG ORD NO
SETBACK LINE , /'"0 � i � /`f
TEL APPROVED ���
CONTRACTOR NO BY -�'�� /l��'w+ioi"4- J/ �'�/�"�1 DATE
USE /APPROVED
ADDRESS I M ZONE `/BY t DATE
DESCRIPTION JL�OT NO p —BLLO�CK I� �LEAL � CORRECTIONS J
TRACT !7 ( 131
G��I �� / /1 '...�. `��✓�A�1` �w './�/RGC�
NO OFFBLbGs
SIZE OF LOT NOW ON LOT 0
UBE OF NO OF [//�\) NO OFO 1 t'
EXISTING BLDG D FAMILIES V ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
A
REPAIR MOVING DEMOLISH
4
SO FT �'�L"' NO OF /-� //'1 Z
SIZE ROOMS STORIES lJ�,c4+ii�TS ,cp f�' ' c9.tiJ r
` WALL �` � � � J/(J ROOF 1 ' ' I
COVERING Ji)w1 COVERING e�x ,P e _ — XTYJ'La - S
USE OF NEW
Bi
UILDING /ui�
i
vv
� i7'"pa �' $2D Q?oratg
L.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION INSPECTOR DATE
AND STATE LAWS REGULATING BUILDING CONSTRUCTION FORMS MATERIALS
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S
BRACI GBOLTS
SIGNATURE OF II�S,F/MJ
PERMITTEE LATH INT \
AUTHORIZED AGT
LATH, EXT
76AG38A 9 48
DSS 3 SOM SETS $ P C PLASTER INT
FEE PLASTER EXT
VALUATION FEE 107e`�e �A"�A�f�`� FINAL /E