HomeMy Public PortalAbout5103 FRATUS DR_Miscellaneous__ M
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01�'C,ELES COG
°`' ti-< COUNTY OF LOS ANGELES a'
PUBLICWORKS DEPARTMENT OF PUBLIC WORKS
BUILDING AND SAFETY DIVISION
eNice
OWNER-BUILDER VERIFICATION
Attention Property Owner
An "Owner Builder" building permit has been applied for In your nameandbearing your signature
at 7L11 i9e e 7,,A7 Please complete
and return this Information In the envelope pro ded at yCor earliest opportunity to avoid unnecessary
delay in processing and issuing your building permit No building permit will be Issued until this
verification is received
1 1 personally plan topro dei the mayor labor and materials for construction of the proposed
property Improvement yes) o no )
2 1 (have/have not) signed an application for a building permit for proposed work
3 1 have contracted with the following person (firm)to provide the proposed construction
Name
Address City
Phone Contractors License No
4 1 plan to provide portions of the work but I have hired the following person to coordinate,
supervise, and provide the major work
Name
Address City
Phone Contractors License No
5 1 will provide some of the work but I have contracted (hired) the following persons to provide the
work indicated
Name Address Phone Type of Work
Signed Return Form to Address Below
Property Owner
Date •d' "
04/19/04