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Home My Public Portal About5203 DEGAS AVE_Building__ ]6A 38ACE#8038-64 APPLICATION OR BUILDI G PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDREss14, ° BUILDING AND SAFETY DIVISION LOCALITY , C' JOHN A. LAMBIE-. COUNTY ENGINEER NEAREST11,, COLEMAN W. JENKINSSUP'T.OF BUILDING CROSS ST. F E B /✓ FOR APPLICANT TO FILL IN plsrRl NO� GROUP CONST.YPE PROCESSED B BUILDING _q STATISTIC!/AAAL CLASSIFICATION 5 ER MAP ApDR ESSSaC D,`U S - / CLASS NO. DWELL UNITS SK PG LOT NO. 6 BLOCK -51SE�j ZONE NO. / TRACT Tg,s� , !(^(Y SPECIAL NO. OF BLOG9. .V CONDITIONS SIZE OF LOT Q go NOW ON LOT ' USE OF _ "'ST, S NG BLDG. BLDG. SETBACK FROM TEL. /�_ FRONT PROP. LINE OFls/(`/ /I `��<!Y.[iM / (STREET) OWNER p Da VP 'P ^O. T] '0�06 TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS /161 14#1 /U N11-S HIGHWAY WIDTH F MLL. + Z(J1 - ZOO CITY �� (�. c,•r - ARCHITECT OR D NOL. SLOG. SETBACK FROM / Av ��'11_ G / ENGINEER SIDE PROP. LINE OF ,/ Y��/C (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH iROM [.L. CL + r �I OTEL + /Of= CONTRACTOR CH[S NOV ADDRESS �9161 p// (LL� 1rUN NO OQo CORNER CUTOFF YESg NO CITY �L e% G T uI-ASSC SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK � _12 Ck LA-M To SHE !:F- Z_ NEW 6�ADD ALTER REPAIR DEMOLISH (�, SO.FT. NO. OF NO. OF Fid 7ar-- APP- ag mewe,0 SIZE STO RIES FAMILIES / I _ SUSE OFf TRUCTURE C AK 42,0 SIGNATURE OF ILMA rvL b o N APPLICANT �. I / Or- { ' I'LL 11111 N U t.01..EiN (, VALUATIOSDO APPROVALS DATE IN9P EC TOR'S SIfIGNATURE P.C. SD PMT. DD FOUNDATION, LOCATION FEE S� FEE'$ FORMS, MATERIALS _ l✓•J�'{M 1 A.l/YLF1.�fL�FH.A.0 / FRAME, FIRE STOPS, U V / Z HERESY HACOUT THE IS I HAVE AND GRE ATO COMPLY BRACING BOLT LC'GS'1 lti(I�Eit ANO STATE THAT THE ABOVE I$ CORRECT S TE AGREE REGULATING COMPLY FURNACE: LOCATION C / WITH NG ONSTRY ORDITION. INCE$ AND STATE LAWS THE WORK GAS VENT. DUCT$ O V AUTHORIZED D HERE NCTION. CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBYWILL NOT EMPLOY FON IN VIOLA. TION OF THE LABOR CODC' OF THE STATE OF OFTH. INT. CALIFORNIACALIgLIFOflNIA flELAT� ING TO WORKMENS C P $ATION INSURANCE. LATH. EXT. / / r1^ILVj Aw SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED r J I ADDRESS - F I N A L (e P JOHN F. LEWIS. PRINCIPAL ST TdhAL ENGINEER PLAN CHECK VALIDATIONcK. M,o. CA.X PERMIT VALIDATION CK. M.O_ L' Lo8ID 6Q FEB 1 2 _55,50A a a Lof Ib L•11 o 9 2 b Ws (,VIP 8 1 D 7/� 1 .00— cJ QPPUCQTDO_. FOR BMLMNG PERNT a��3 COUNTY OF LOS ANGELES BUILDING AND SAFETY ` W&RKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS ,,/� /+ I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESSDFaA� _��eJ 2Aez G or a certificate of Workers' Compensation Insurance,or a certified copy thereof(Sec 3800,Lab.C.) CITY ZIP LOCALIT Policy No. Company SIZE OF NO OF OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS T ❑ Certified copy is filed with the county building inspection TRACT I BLOCK LOT NO. ��N department. 29569 1 16 USE ZONE MAP NO. ASSESSOR MAP BOOK PAGE PARCEL Date Applicant 3 003 SPECIAL CONDITIONS OWNER TEL O. CERTIFICATE OF EXEMPTION FROM WORKERS' INOCENCIO R. DI'AZ 818-444-8080 WITHIN 1000 FT OF SCHOOL? YES NO COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred ADDRESS 5203 DEGAS AVE . DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) /y I certify that in the performance of the Work for which this permit CITY ITEMPLE CITY CA ZIP 91 780 -6 /J �/ r is issued. I shall not employ any person in any manner so as to 23_50 �' /C �� % .� become subject to the Workers'Compensation Laws. -'rf OR ENGINEER TEL NO. �«t �7IGI _ _ STATISTICAL CL SI KATION _;APT- CONDO Date�Cf4/qL Applicant nTA7 �/ ADDRES44 S CLASS NO. DWELL UNITS _ NOTICE TO AAPPLICANT. P,O, BOX 406 If, after making this Certificate Of REQUIREDTOTAL SETBACK FROM_ _ EXIST Exemption, you Should become subject to the Workers' CONTRACTOR EL NO. SET BACK YARD HWY PROP LINE! !I C,I J j WIDTH Compensation provisions of the Labor Code, you must forthwith b FRONT --t-A comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL )-1 _ 19 _ � r iT LICENSED CONTRACTORS DECLARATION SIDE `-k. ='t% =c' CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 ! Y (commencing with Section 7000)of Division 3 of the Business and S NO.OF STORIES NO,OF FAMILIES SEWER MHP Ilyl'1']G Professions Code,and my license is in full force and effect. NEW ❑ BK PG U DESCRIPTION OF WORK VALUATION D 1 fr" License Number Lic.Class ADD (111_;I l-_rvo! _r�' il'y�p Contractor Date ADD FAMILY ROOM OVER ALTER ❑ $ 3 ROV `I.j ..� r;'%.,y a ❑ I am exempt under Sec. EXISTING ATTACHED GARAGE= REPAIR ❑ $ Z B.BP.C.for this reason DEMOL ❑ LDMA P/C Y Date: USE OF EXISTING BLDG. URM ❑ I Signature APPLICANT IPRWT) TEL NO LDMA Perm k ` ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is rot intended or offered for sale (Section 7044, Business and A�` 3DEGAS AVE. TEMPLE CITY CA FINAL DATE Q Professions Code.) HALL THE APftSANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL / S i T I ❑ I, a5 Owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q licensed contractors to construct the project (Section 7044, - AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY }I l j A 500 m 00Business and Professions Code.) YES C1 .0 WILL THE INTENDED USEbF THE BUIDLINR BY THE APPLICANT OR FUTURE BUILDING =l, ES,�l, �f�U n11:1 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION JCTION DI EE PERMITTING FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AN DUAL MANAGEMENT DISTRICT ISCAOMDI SEE PERMRTING CMECKIIST FOR 1 -1- GUIDEUNEa , rjl hereby affirm that there is o construction lending agency for 'YEs❑ No IX r a the performance of the work for which this permit is issued(Sec. W IHAVEEC READ THE HAZARDOUS TANDMY REQUIREMENERIALS TS ATIONUNDER THE AND ANGELHE ES CO NTYCODE. _ ry 3097.CIV.C.) WILE 2, CHECKLIST. UNDERSTAND TI RECUIR 100 TS OII THE 140 gNGE RNI COUNTY CODE 111"I'l'�'1_i lel_I y '}.I 'y( '•T TITLE 2.CHAPTER ING AND Fp[[I5 2 20.100 THP fop CONCERNING HAZARDOUS L- Lender's Name MATEPIAL EPORTING AND FOTiO TAIN,INfi A PEWIT FR THE SCAOMO. o Lender's Address --� yK� /�` 1'; C, awN1q a ArrNr o I certify that I have read this application and state under penalty O of perjury that the above information is correct.I agree to comply P.C.FEE J—^^ 'r) PERMIT FEE with all county ordinances and State laws relating to building m construction, and hereby authorize representatives of this County IPSUANCE FEE / . ,/D ato enter upon the above-Mentioned pr for inspe tion p p sec. (/ (7�'-�J IF ._. o y�„a,�,/ � �_Y�yL INVESTIGATION FEE TOTAL FEE Hv�A..m road<,Apenl 7 INOCENCIO R. DIAZ SEE REVERSE FOR EXPLANATORY LANGUAGE aPPUC AARON FOR BULUNLOGC� N pANDSf�ET COUNTY OF LOS ANGELES BUIWORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS - I hereby affirm that I have a certificate of consent to sell insure, BUILDING ADDRESS or a certificate of Workers' Compensation Insurance,or a certified q203 T1RnAR AUR copy thereof(Sec.3800.Lab.C.) CITY ZIP LOCALITY f Policy NO. Company SIZE OF LOT NO,OF BLDGS.NOW ON LOT ' ❑ Certified Copy is hereby furnished. lg000 go VT nmp NEAREST CROSS'ST ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT No. department. 29569 USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK.,„" PAGE PARCEL SPECIAL CONDITIONS f' / CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER - TEL NO. COMPENSATION INSURANCE INOWCIO R. DIAZ 818-444-8080 WITHIN 1000 FT.OF SCHOOL' YES NO (This section need not be completed if the permit is for one hundred ADDRESS \ dollars ($100)or less.) $209 DEGAS AVE. DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY I certify that in the performance of the work for which this permit CITY$203 CITY 'CA ZIP 91780 ' is issued, I shall not employ any person in any manner so as to — �'�e'�'" ' "�• 1 become Subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL N0. "j STATISTICAL CL/}SSIFICATIDM ry. APTy CONDO Date "' - b/4/94 Applicant ISR_ 1f17A7. ADDRESS CLASS NO. DWELL UNITS / 1.• NOT/CE TO APPLICANT.. If, after making this Certificate of P.O. $0X 408 AREOuweo' TOTAL SETBACK FROMyy EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD Hyyy PROP LINE[ It`i. . WIDTH Compensation provisions of the Labor Code, you must forthwith FROM •;C}r{, % ,��, a n comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE •'.ry: ."t CITY LIG GLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 ..•,... (commencing with Section 7000)of Division 3 of the Business and Sly T ZE NO.OF STORIES NO,OF FAMIDES NEW Y't ❑ SK MAP Professions Code,and my license is in full force and effect. - r License Number Lie.Class DESCRIPTION OF WORK ADD VALUATION D !'O.Y{,I-Xj'µ f• J Contractor Date ADD FAILSSILY A01210MALTER ❑ $ r REPAIR ❑ [1.1-am exempt under Sec. ESI8TIN9 ATiAC8F.0 III ALTER BAP.C. for this reason DEMOL ❑ LDMA P/C . (D Date: USE OF EXISTING BLDG. URM ❑ w Signature APPLICANT[PRINT) TEL NO. LOMA Farm I ~ .J C3 I.,as owner of the property, or my employees with wages as I - Z : 'their sole compensation, will do the work and the structure is A O 91 3 DEGAS AVE. TEMPLE CITY CA � Get intended or Offered for sale (Section 7044, Business and FINAL DATE C Professions Code.) WALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ 1, as Owner of the property, exclusively contracting OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE licensedcontractors to construct the project (Section 70444, am excY conractn9 wl , AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY rrZ� F - .Business YES El NO Eps and Professions Code.) KI•} WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FROM T EBUILDINGSOUTH •"'• COASTA IR REQUIRE A PERMIT FOR CONSTRUCTION JGTION OR EE PERMITTING FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR OUAl1TY MANAGEMENT DISTRICT 1SCAOM01 SEE PERMniING LHECKUST FOR I. Gwoeurves ,,yy I hereby affirm that T there is a construction lending agency for YES El NO 19 N the performance of the work for which this permit is issued(Sec. m HAVE READ THE HAZARDOUSMATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,CIV.C.) CHECKUST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, Lender's Name TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 220.140 CONCERNING HAZARDOUS (K•+ MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. ( Lender's Address Q Q•mEP OR ILE NT o, I certify that I have read this application and state under penalty Of perjury that the above information is correct.I agree to comply P.C.FEE f, /`-C' PERMIT FEE �• �,. INN with all county ordinances and State laws relating t0 building �( / i! • r�� construction, and hereby authorize representatives of this County ISSUANCE FEE ` to enter upon the above-mentioned properiyfor inspection purposes. INVESTIGATION FEE TOTAL FEE sero a noolK. s A�� o,.. I50=7CI0 R. DIAZ SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1212120040 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 29569 LT: 16 SQ. FT STORIES TYPEDEGAS 1 I ISTRUCTURE: V-B TEMP DG A917803322 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GREEN 18585-003-046 THOMAS PAGE: 597 GRID: 24 LOCALITY: TEMPLE CITY, Cl TENANT: IEXIST BLDG USE: RESIDUSE ZONE: R1 (ISSUED ON: PROCESSED BY: EXIST OCC GRP: 112/12/12 SR I OWNER: TEL. NO: iBLDGS. NOW ON LOT: VALUATION: IFINAL DATE INALiB Y: CODE: 1SON, VIVIAN (323) 353-5741- 5,000 1 15203 DEGAS AV TEMP 917803322 FEES PAID ID SCRIPTION OF WORK (REMODEL KITCHEN, REMODEL ZED FLOOR BATHROOM AND CLOSET IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 (APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.80 1 AB STATE GREEN BLDG FEE 5000.00 VAL 1.00 SPECIAL CONDITIONS: 1AC STRONG MOTION REBID 5000.00 VAL 0.50 IB1 PLANCHECK W/ENERGY 5000.00 VAL 124.00 E2 PERMIT. W/ENERGY 5000.00 VAS. 145.90 CONTRACTOR: TEL. N0: IFR INV WORK W/0 PERMIT 169.70 DOL 169.70 (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - I TOTAL FEES 468.90 1 LIG NO LOCATION AND SETBACKS I I ISOII.S ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. N0. FOUNDATION/TRENCH FORMS I LIC. N6� SLAB/UNDER FLOOR 3AIS3D FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION 1147H273 3 001 I I _I FLOOR SHEATHING N0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: _ 0 NO 21 1 IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS JSH2AR PANELS (AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION IFIRE SPRINKLER HANGERS �� I I I I ITNSIILATION/WEATHER STRIP( 1 I I I ANTERIOR LATH/DRYWALL y� IEXTERIOR LATH (RATED FLOOR/CEIL ASSEM. (RATED WALL ASSEMBLIES I I IRATED SHAFTS/OPENINGS � I I T-BAR CEILINGS SLOT DRAINAGE RE PORT ID: OPR261 ROUTE T0: 850508 APPL PC A700H FOR MLOONG PER�iv OT I COUNTY OF LOS ANGELES - BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS - I hereby affirm that I have a certificate of consent to self insure, ADDRESSe, _ 5203 .De a.S Ave _ �p /t S t/� or a certificate of Workers'Compensation Insurance,or a Certified ZIP °OST copy thereof(sec.3e00,Lab.c.) CITY V Tem le City LOCALITY Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT l•� ❑ Certified copy is hereby furnished. NEAREST CROSS ST. 13Certified copy is filed with the county building inspection TRACT BLOCK LOT D. c department. - 29569 16 USEZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL 737 72 &7 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL.NO. YES NO COMPENSATION INSURANCE - WITHIN 1000T. OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred 5203 .Regas Ave, DISTRICT I GROUP ITYPeCONST FIRE ZONE ROLES D BV I certify ($700)or less.) cin .ZIP I✓0� 9-3 -9 3 I certify that in the performance of the work for which this permit {✓�° is issued, I shall not employ any person In any manner So as to ARCHITECT ENGINEER TEL NO. become subject to the Workers'Com nSatlOn Law S. STATISTICAL C�WTiCATION APT I CONDO Date f5'2-90 Applice ADDRESS _ CLASS NO.�S.�L�DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate OREQUIRED TOTAL SETBACK FROM EXIST Exemption, youshouldbecome subject to the Workers' CONTRACTOR TEL.NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions'Of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. FRFR LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PPL IL g CI- I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and 50.FT.SIZE NO.OF STORES NO.OF FAMILIES Cd Professions Code,and my license is in full force and effect. One NEW ❑ SK PG DON OF WORK VALV D o. ADD ❑ A N 00 w License Number Lic.Class $ oOr y Contractor Date ALTER ❑ Z I am exempt under Sea "with .new fiberglass schin les REPAIR ® $ ❑ S.&P.C.for this reason DEMOL 1-1 LDMA P/CM Data: USE OF EXISTING BLDG. .URM ❑ Signature APPLICANT(PRINT) - TEL NO. / LDMA Perm p i 818) z i ❑ I, as owner of the property, or my employees with wages as - O their sole Compensation,will do the work and the structure is ADDRESS - F �i.- ,a not intended or offered for Sale Section 7044, Business and 520 D FINAL DAA - Q , Professions Code.) ( p -'slit 1'?°1.,9� WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZMDOUS MATERIAL OR MIYTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN J N 7 d, ❑ I, as owner of the property, am exclusively contracting with THEAMOUNTSSPECIFIED ONTHE HAZARDOUS MATERIALSINFORMATION GUIDE'! FIMAL Q � ITEMS licensed'contractors to construct the project.(Section 7044, YES❑ NO l4 A J ' t '1"rf' Business and Professions Code.) !' ' TOT 832 00 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANTREOUIRE A PERMIT FORCONSTRUCTION OR MODIFICATION FROM THESOUTH i CHt_:K '^°Cls CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST a• I T,y ' Jr FOR GUIDELINES. (y� v WL �.I ,. 1 hereby affirm'thet there is a construction lending agency for YES❑ No U�1:, IT�r'l�IC °I if� the performance Civ.C.). f the Work for WfIICh this permit IS ISSUed(Sm. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,CIV.C.J. PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELESZi 'r r 2. COUNTYCODETITLEZCH "ER2p SECTIONS2.M.lWTHR000HZM.1a WNCERNING (1!(_ifj—C,tl%ti rl) n!^ I Lenders Name. HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Vtti 11 r/ Lenders Address I tb1.: 1 itirilJa 1 �o wmER OB ADvrt - . o' I certify that I have read this application and state that the above FEE PERMIT FEEinformation is correct. I agree to comply with all county P.C. 9° ordinances and State laws relating to building construction,and hereby authorize representatives of this County to enter upon ISSUANCE poe' FEE '7 r O the abov entioned property for insurposes. J JSMM„e L C S^:Z—QV INVESTIGATION FEE TOTAL FEE °IAgYNuil>Aps, Pm 7 A SEE REVERSE FOR EXPLANATORY LANGUAGE