HomeMy Public PortalAbout5708AGNES AVE_Building (2) t _ 1
DIVISION OF BUILDINFA AND eSAY�� � WILDING
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Department of County
l County of Los Angeles 105<
WM J FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN
FOR OFFICE USE ONLY
ADDREBB�/QjJIy G/���J ���► DIRT T NO P� 7tl �Rec No PERMIT NO
BUILDING ���!!! v/� D 9 'U'7
LOCALITY
RECEIVED BY DATE OF APPL. DATE ISSUED
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GROBBSTST Z_ x � ��
ROBS �i BUILD IND
OWNER �� i`�Q��/ 7X— �G�+ ADDRESS
AMAILDDRESS � LOCALITY
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CROSS ST
CITY Tom' ' G� ND. FIRE N 0 or�I TYPE GROUP
AROHITECT OR TEL ZONE PLANS ��
ENGINEER NO. BLDGD O D NO
SETBACK LINE
ADDRESS
�� UBE APPROVED
CONTRACTOR BY DATE/O—;-
/"/y,= 1 HOUSE NUMBERING
ADDRESS G ` �4�.�ri�� '414 MAP NUMBER r a r-) '7 NO ASSIGNED BY
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LEGAL ' CORRECTIONS
DESCRIPTION LOT NO
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TRACTy/Y�j��, Gam.
SIZE OF LOT /r 1:/�/,I Na. OP B D@B.
j NOW ON LUSE OFQT
EXISTING BLDG „Fd�����"'�4 P MINO LI to / _
DESCRIPTION OF WORK- °
NEW 1 - ALTERATION ADDITION Z
REPAIR DE CLITION
BQ FT / NO OF
SIZE ROOM@ —j STORIESEXT WALL R 'w
or
/
COVERING �G d I OOVERING
UBE OF STRUGrrURE
INSPECTION FOR APPROVALS
OCCUPANCYAS INSPECTPR S SIGNATURE DATE
FOUNDATION LOCATION
FORMS, MATERIALS d
I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME FIRE STOPS,
CORRECT BRACING BOLTSI ABRER TO COMPLY WITH ALL CIRDINANC
AND STATE LAWS REGULATING BUILCDIING OUNTY CONSTRUCTIONR
FiJRNACE LOCATION _
BAB VENT DUCTS
SIGNATURE OF .�
PERMITTffELATH, INT
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ADDRESS, " Gj�/� � LATH EXT
PLASTER, INT
AUTHORIZED AGT -�-� ��� a�
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P CPLASTER. ®(T
O 0
FE -Q�Q HRECT AND POSTED
VALUATION D O FEE S�f+�( fes" FINAL / 53
76A638A DSS 3 1 S2 ��