HomeMy Public PortalAbout10684 ARROWOOD ST_Building_10/1/1979_garage addition OoS�,`IN✓F_06/78) y�
APPLICATION FOR BUILDING PERMIT ,
COUNTY OF LOS ANGELES BUILDING AND SAFETY
BUILDING
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R APPLICANT TO FILL IN ADDRESS 1 Ob 8 A rr WOl7 s
LOCALITY C jISeNEAREST
ZIP r` CROSS ST. QOF BLDGS. ASSESSOR
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TRACT I L �> BLOCK LOT-NO. / DISTRICT GROUP TYPE FIRE ROCE SED BY
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OWNER 1\a C� fl 1 O
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u STATISTICAL CLASSIFICATION J SEVER MAP
ADDRESS 0 LI Waa CLASS NO. � I DWELL.UNITS Q BKS�PG
CITY ZIP Q
ARCHITECT OR TEL. VALUATION
ENGINEER NO.
ADDRESS BLDG.SETBACK FROM
TEL. FRONT PROP,LINE OF ®� (STREET)
CONTRACTOR NO. HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
LIC. FRONTPROP:LINE HIGHWAY WIDTH
ADDRESS NO.
LIC. +
CITY CLASS
BLDG.SETBACK FROM
CONSTRUCTION LENDER
NAME AND BRANCH SIDE PROP.LINE OF (STREET)
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 / o
DESCRIPTION OF WORKt z NEW ❑ P.C. Fee$ Permit Fee
b j T IVAI ADD Issuance Fee
ALTER ❑ N
Z
REPAIR ❑ Total Fee ®t
USE TI DEMOL
EXISTING BLDG. C5. Z
APPLICANT TEL O
(PRINT) 0. ~
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BY(SIGNATURE) Q
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS PLICATION AND STATE Y
THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES W
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE Z
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF tJ
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- / Z
PENSATION INSURANCE. J
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SIGNATURE OF
PERMITTEE /// + �# o o'o 0 0
ADDRESS U �y�\'
Z
TEL.
O 2 0 0 ' G 0 0
CITY ram 17 ho NO. o 0 o O Q o v
USE ZONE MAP -21 Q
NO.SPECIAL (�
> 10.0 '79
r CONDITIONS 7q'_ ` f
FINAL BY
DATE