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HomeMy Public PortalAbout5732AGNES AVE_Building ,, ©s 76438A t CE#803(REV 11/78) APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY ' BUILDING ..- FOR APPLICANT TO FILL IN ADDRESS Z 'l BUILDING -732 J ADDRESS LOCALITY �/ 'y NEAREST CITY 1 C ( ]- ZIP (J CROSSST O NO OF BLDGS ASSESSOR ' SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL-, DISTRICT G TYPE FIRE P O SED BY TRACT 6-561 BLOCK LOT NO U 19 T yr CONST v �E TEL V a OWNER O ��105 STATISTICAL CLASSIFICATION EWERfMAP ADDRESS CLASS NO DWELL UNITS BK / CITY ZIP Cl I ARCHITECT OR I ITEL VALUATION �i� ENGINEER N 7/1 Aoe ADDRESS 4 J,V VeWe C / D BLDG SETBACK FROM TEL FRONTPROP LINEOF- (STREET) CONTRACTOR NO HIGHWAY + YARD = TOT A SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO + 1� -� zlz ("" 6 LIC CITY CLASS BLDG SETBACK FROM CONSTRUCTION LENDER SIDE PROP LINE OF (STREET) NAME AND BRANCH HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH C SO FT NO OF NO OF CHECK + = V SIZE STORIES FAMILIES ONE 0 ❑ USE-ZONE MAP -�� � (, DESCRIPTION OF WORK NEW NO p��(J ECIAL ADD 'd ONDITIONS N ALTER ❑ FINAL BY Z REPAIR ❑ DATE USE OF DEMOL ❑ EXISTING BLDG PC/ O J C 1 6 9 A APPLICANT TEL (PRINT) Q G NO Q # o o o o 2 3 y �y O BY(SIGNATURE) / V Q 2 o e 8 Q 0 0 HAVi y p THAT THEHEREBY ABOVEACKNOWLEDGE IS CORRECT THAT AND(AGREE TO MPLY WITH IAALLL RDINANCES ) — 684,0060 AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE V WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VI LATION OF 08 1 2—8 0 THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WO MEN S COM z PENSATION INSURANCE i SIGNATURE OF PERMITTEEXK�Zh" A � 1 '670R ADDRESS Aelile 5ff Z TELy - 2 # 0 0 00 0 1 CITY 1/ NO 0 2 - 421 0 0 PC Fee$ 7 -D Permit Fee 7 > 0 0 4 2 1 0 0 3t � r <�V Issuance Fee / W d Total Fee / -----------