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Home My Public Portal About5123AGNES AVE_Building (4) DIVISION OF BUILDING AND SAFETY Department of County Engmeer County of Los Angeles WM J FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY �(/�� DISTRICT NO PLAN CK. OR Rsc No PERMIT NO ISZj/ �_ / '1_�..�=.6_ �J / n�,_ RECEIVED BY DATE OFAPPPL. I� DAtT�E ISSSUED LOCALITY L—A 1r4 Q�/L/!`-"tel ! l v J I1— /// ROHHBT L /'.C_�c.e /f_ BUILDING J ADDRESS OWNERi MAIL LOCALITY ADDRESS --C..��' NEAREST v CROSS ST CITY G��Y + NOL FIRE NO OF TYPE--- GROUP �• ZONE _�I ARCHITECT OR .�-...._..� TEL. PLANS - --- ENGINEER +^�'�� NO. BLDG ��a O D NO SETBACK LINE /S_ ADDRESS USEE / -' PROVED CONTRACT UZONBY DATE l6 -J HOUSE NUMBERING ADDRESS-�_ 7I iz MAP NUMBER NO ASSIGNED BY LEGALCORRECTIONS DESCRIPTION LOT NEL oil BLOCK psi TRADT s \. bL�Iy ^ 'NO OF BLDIiIB SIZE OF LOT J� /" / „NOW ON LOT s USE OFr NO F r EXISTING BLOB ('f FAM.96 DESCRIPTION OF WORE: A 0 NEW ALTERATION ADDITION Z D r REPAIR rT1 (wry/ ��...�D�E-MOLITION .-SIZE SI (ti tyyH'�y �JQ ROD NO F 13TORICS EXT WALLA� )J ROOF COVERING.�"(AL -a� I OOVERINO,(t` USE OF STRUCTURE o INSPECTION FOR APPROVALS OCCUPANCY AS INSPECTOR S SIGNATURE DATE FOUNDATION LOCATION FOMMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME FIRE STOPS CORRECT BRACING, BOLTS I AGREE TO COMPLY WITH ALL AND STATE LAWS REGULATING BUILDING NB CONSTRUCT ONS FURNACE LOCATION n GAS VENT DUCTS SIGNATURE OF 4. LATH, INT PERMITTEE-�vvv��r / LATH EXT ADORES d kar AUTHORIZED AGa- PLASTER, EXT � PLASTER, INT i _ $ Cjp PCS r:� FEE HOUSE NUMBER COR �j\ VALUATION © FEE ✓ D RECT AND POSTED FINAL 76A63BA DBS 3 1 52