HomeMy Public PortalAbout4949AGNES AVE_Building (10) 1
78Ab98A Db$H 9 88
APPLICATION FOR BUILDING PERMIT
DMSION OF BUILDING AND SAFETY BUILDING (1Q (167 46
ADDRESS 7 [ T
Deportment of County Engmeer
County of TAS Angeles LOCALITY
WM J FOX COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRICT NO GR O TYPE SEWER MAP
FOR APPLICANT TO FILL IN r B
BUILDINGnQ /J /j �7 /� `� corlsr "
ADDRESS 4f 7 0 /'i��/��i� ��,�_ NUMBER pC� / STATE YES NO
LOT NO BLOCK USE ZONE SPECIAL
CONDITIONS
139?TRACT 6
i' NO OF BLDGS BUILDING EXIST
SIZE OF LOT J NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH
USE TI /' �Z �J�� FRONT
EXISTING BLDG ((.� !-!/ P L
OWNER '� All'
MAIL
MAIL
ADDRESS 4 n LI 0 TRACT DWELL 1 UNIT 5 INDUSTRIAL
TE
CITY /�J �.� /I NO
TEL 1 DWELL t UNIT
G. 6 PUBLIC BLDG
L DUPLEX I UNIT
ARCHITECT OR TEL 7 ADDN ALT ETC
ENGINEER A IdAlglff NO 3 APT UNITS �p
i 8 MISCEL Ckbv ,,jd-
ADDRESS 4 COMMERCIAL
TEL INSPECTION RECORD
CONTRACTOR ' = NO
ADDRESS _ 4 5 lS Q M.I —dk�C-._I I ,i"�• rcn emt
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SO FT NO OFNO OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
C d!Z ,er -?a x?G
A
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS DATE INSPECTOR S SIGNATURE
FOUNDATION LOCATION
Q� P C $ FORMS MATERIALS L
FEE /r1 FRAME FIRE STOPS
® $ O BRACING BOLTS
VALUATIO FEE _ FURNACE LOCATION v
1 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 CONSTRUC
TION TH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE ` RECT AND POSTED
ADDRESS
FINAL S �I�� / "�--
WM J FOX COUNTY ENGINEER VALIDATION C N DIRLAM CHIEF BLDG INSPECTOR
1LC64894t APR 9 1 L 400 Ind
r,1 LG4 9 5 5 APR 9 1 8 0 0