HomeMy Public PortalAbout5332ALESSANDRO AVE_Building MA63BA PE 0803 1/71 �' 1
APPLICATION FOR BUILDING PERMIT
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.COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION- BUILDING
ADDRESS AD
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN iNEAREST
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r TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY 7 �T HIGHWAY WIDTH FROM C L
ARCHITECT OR TEL } _
ENGINEER NO BLDG SETBACK FROM
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TEL TYPE OF EXISTING SETBACK HIGHWAYYARD = TOTAL 0
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SIZE STORIES FAMILIES
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VALUATION $ C.e B�
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77FRAME AFIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS /J
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 LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATI G TO
WORKMEN S COMP N ATION INSURANCE
LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS """;7-173
s � 73
JOHN F LEWIS PRI IPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALID TION CK M o CASH
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