HomeMy Public PortalAbout5234AGNES AVE_Building 76, #8D31 71'\PPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL._,
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
COLEMAN W JENKINS SUP T OF BUILDINGt
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VALUATION $ (� 40./ t APPROVALS I- ' DATE INS CTOR 5 I ATURE
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'h I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS `4.,-
I^ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION {
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
i LABOR CODE OF THE ATE OF CALIFORNIA IN RELATING TO LATH INT t I
WORKMEN S COMPE T I SU ANCE LATH EXT �-� ..�,, J�A/ ur�.ry
SIGNATURE OF .� (�..(T'-I'1✓ HOUSE NUMBER COR
PERMITTEE f RECT AND POSTED '
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JOHN F LEWIS PRI CIPAL STRU,C AL ENGINEER
PLAN CHECK VALIDATION cIy M o CASH _ PERMIT VALIDATION 1 O CASH
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