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HomeMy Public PortalAbout5615ALESSANDRO AVE_Building (3) •� 1 ©s 76A63/-, CE N8'1(REV.'6 78) APPLICATION FOR, BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADIDRRESS BUILDING // ADDRESS ��6r LESS' Q)Q, � LOCALIT P NEAREST CITY - _LZ- ZIP 17 CROSS ST. / —/ NO.OF BLDGS. ASSESSOR SIZE OF LOT. � j� NOW ON LOT 2 MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE SSED BY TRACT Q�7 BLOCK p g�L (OT N ZZ ` CONST. ZONE 1 OWNER )(;IV � /iLCC.-NO / STATISTICAL CLASSIFICATION SEWER AA<P ADDRESS L -! /✓/-)P y� CLASS NO. I-& DWELL.UNITS BK'/:& CITY - 7 ZIP �h ARCHITECT OR TEL. C-� VALUATION $ a U Q ENGINEER NO. ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR NO. HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. _ LIC. ! + CITY CLASS do BLDG.SETBACK FROM CONSTRUCT IO ER SIDE PROP.LINE OF (STREET) NAME AND BR CH Qi HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING CITY o ADDRESS. SIDE PROP.LINE IHIGHWAA WIDTH SQ.FT. NO.OF NO.OF CHECK ' + _ SIZE ® STORIES FAMILIES ONE 0 DESCRIPTION OF WORK • [ /L/_ -) N W ❑ P.C.<Fee$ Permit Fee. oJ+ A D Issuance Fee ' N 1 74 In t ('? -a /� LTER Z C PAIR ❑ Total Fee USE OF EXISTING BLDG. DEM Z APPLICANT & TEL �� E�---, 2 (PRINT( BY(SIGNATURE) T� S O a kLEDGE HAT iHAVF N AND STATE THATHHE ABOVEEREBY N�CORRECT TAND(AGREE OACOMPIY WITHTHIS APPI AALL ORDINANCES ,qwnW ' AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE _ :2 2 9 Q 6 A WORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLATION OF -L�� ('fes V THE LABOR CODE OF TH ATE F NOT IN RELATING TO WORKMEN S COM- Z PENSATION INSURAN . # 0 0 wO 0 1 SIGNATURE OF Gry�f}[3�� •2 o 0"5200 PERMITTEE ADDRESS 'o a a 5 2 O O U Z TEL. - ° 0 2 216-7 9 CITY - 'd' NO. Q D ZONE MAP NO. Q J1 SPECIAL 11- CONDITIONS v►tom �/. :E oc FINAL �/-jJ BY d DATE 17� a U