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Home My Public Portal About6019 GOLDEN WEST AVE_Building__ ' tYrh♦ �_^i) •QI�� M Py-Lypg','�'��p, �y�/®��®f TY 7e.e3eA CH#803 V60 APPLICATION FOR BUILDING-' PERMIT COUNTY OF LOS ANGELES BUILDING /ADDRESS O' i DEPARTMENT OF COUNTY ENGINM (F BUII.DING AND SAFETY DIVISION LOCALITY , JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPtT OF BUILDING CROSS ST, DIST_197 NO. GRO TYPE PRO �D FOR APPLICANT TO FILL IN d CON BUILDING J LiSTATISTICALIFICAT_ION S ER MAP ADDRESS BK G CLASS NO. DWELL.UNITS LOT NO. -S� BLOCK, MAP /ry / STATE NUMBER (/ HWY.- YES ' NO USE- OrNE TRACT V` J SPECIAL - y NO.OF BLDGS, CONDITIONS SIZE OF LOT c7L NOW ON LOT USE OF - EXISTING BLDG. �Q G BUILDING 'EXIST. TEL. SETBACK YARD HWY STREET NAME W TH OWNER NO. -FRONT a P L � A` t� �G V , ADDRESS r SIDE ARCHITECT OR NG P L - ENGINEER 'lAV / � � Wl�NO:�� _ ' INSPECTION RECORD - - - - ADDRESS * TEL. a CONTRACTOR NOr - O ADDRESS V DESCRIPTION,OF WORE v O H NEW / ADD ALTER REPAIR DEMOLISH W SQ.FT. NO.OF - NO OF a SIZE' 1,U4411-1/4 JJIl STORIES FAMILIES - N USE T STRUCCTURE i14_ U 41/ 4�✓G`�-` iP� �1. L GNATURE OFPPLICANT LUATION$, �� 0-p I - APPROVALS - DATE INSPECTOR'S SIGNATURE _ F'.)UNDATION LOCATION ,FEE $ FEE $ V V FORMS,MATERIALS '1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME FIRE STOPS, .—r- l PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING BOLTS -Z - /A11(I FURNACE. LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,-INT 5- &P-7- e . ' ,WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE - - WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH,EXT. } �^ SIGNATURE OF �` z `� HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESSI FINAL CLYDE,N. DIRLAM, PRINCIPAL STRUCTURAL'E PLAN CHECK VALIDATION CK. .M.O., - CASH PERM VALIDATION cK. M.o. G7 ®� 76A638A CE #803 1/71 =` APPLICATION FOR BUILDIN PERMIT- 0 COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE' PARCEL BUILDING AND SAFETY' DIVISION ADDRESS SG Mfr ADDRESS I� COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST Print ort e only) - BUILDING / /y7� / l� I DISTRICT NQ: R P "CONST, E D-B ADDRESS (G�� /�/ �'- p•Lc7Ctwr • &' t (/'�' Qf/ STATISTICAL CLASSIFICATION SEWER MAP "LOT NO �� BLOCK - CLASS NO. OWELL,UNITS BKJE�'PG13 • TRACT • USE ZONE MAP ' NO.OF SLOGS. NO. SIZE OF LOT NOW ON LOT 2• SPECIA " USE OF CONDITIONS EXISTING BLDG. _ TEL p ,OWNER 7)7/ NO. �,(O S��/03� BLDG.SETBACK FROM ADDRESS,6p/ ~i0 Gl/�n-r' FRONT PROP.LINE OF (STREET) , TYPE OF EXISTING SETBACK HIGHWAY }` . YARD = TOTAL CITY ..g�.� �L� HIGHWAY WIDTH FROM C.L. ^••1•� ARCHITECT OFV TEL. 40 1, } ENGINEER NO. _ r3LDG. ETBACK FROM ADDRESS 1 SIDE PROP. LINE OF (STREET) TEL TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL 13- CONTRACTOR NO HIGHWAY WIDTH FROM C.L. V LIC _ ADDRESS NO F } - O LIC. ~' CITY ,CLASS 'CORNER CUTOFF- YES El NO ❑ d CONSTRUCTION LEND!!, to NAME AND BRANCH - - SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS 10.3.'5 �•.�.4S7-uNA5 fel,? .rte SO FT NO. OF NO. OF NEN, 'r ""� r1' '' v �1�(1/� ��'d] a��A,/_C SIZE ��X� STORIES FAMILIES ,� ❑ ' - ` •ey,,� y USE OF ADD .'7�r l�!J��R/ Li/ I�'�. �' "L If. �1' !1y/ 1RO.L STRUCTURE- a Q• ALTER ❑ ' REPAIR❑ 'SIGNA T URE -PAP FO-®.CPa.s�=-dr'/3,H i� i 1,1C'.Q c-�IJA I APPLICANT G�,c F sy,.," ,6� JLt,.,.,p" D E MO L ❑ u NG67 h��/.�-ri �� f ili7- _ ) - V A L U A T ION APPROVALS � DATE INSPECTOR'S SIGNA TV RE P C PMT, 'FOUNDATION: LOCATION FEE $ - FEE $ �,� FORMS, MATERIALS FRAME FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS 'AHD STATE THAT THE ABOVE IS CORRECT ANO�AGREE TO COMPLY FURNACE• LOCATION, r WITH ALL ORDINANCES 'AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS ` STR UC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION'OF THE 'LATH, INT LABOR CODE OF THE STATE OF'CALIFORNIA IN RELATING TO _ WORKMEN'S COMPENSATION INSURANCE - LATH, EXT: - SIGNATURE' � ! 'HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS }FINAL / JOHN F 'LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN,CHECK VALIDA'T'ION CK M 0 CASH _ PERMIT• VALIDATION crc � M O CASH '�,- JUN 4 1 D 2 7.7 5 - APPLICATION' FOR COUNTY,OF LOS.ANGELES U I L D I N G PERMIT DEPARTMENT •OF COUNTY ENGINEER •� BUILDING AND SAFETY DIVISION LLL111 !' BUILDING OR APPLICANT TO FILL IN _ ADDRESS BUILDING /Q �ys ADDRESS CCl( (ti¢� LOCALITY CITY/• �P J/ ZIP 9�7 f0 CR EAR NO OF BLDGS ASSESSOR' SIZE OF LOT �NOW ON'LOT, MAP BOOK • PAGE CEL �^• q DISTRICT GROUP CTYPE ONST FIRE PROCE`SED BY TRACT � 4lBLOCK LOT NO /'4 n � ,OWNER / p�. ' 7' -t 7 STATISTICAL CLASSIFICATION ADDRESS(i6/ CGG kLJ�J - , , - - SEWER MA t - N CLASS NO�_DWE'LL,UNITS BK PG, .CIT.Y J ` ZIP / J �•/• U ZONE NAOPG07 - - 'ARCHITECT OR .. TEL. _ SPECIAL ENGINEER NO CONDITIONS Ll ADDRESSS - ROAD DEPARTM-ENT APP E]ROVAL.R,EQUIREO YES NO ❑ CONTRACTOR .�sT• NEL' BLDG SETBACK FROM FRONT PROP.LINE OF (STREET) ��``.�� 0 LIC. -1 ,37 A DDRESS�(/2 Y - NO V HIGHWAY } YARD _ TOTAL SETBACK FROM TYPE OF EXISTING �� LIC - -- - FRONT PROP LINE HIGHWAY WIDTH CITY /djy� jP• �i CLASS-- CONSTRUCT ON LENDER } NAME AND BRANCH - - BLDG,SETBACK FROM _ d • SIDE PROP,LINE OF (STREET) C� ADDRESS.. CIT(' -- - 'V SQ FT. /� NO OF NO. OF CHECK HIGHWAY. } YARD = TOTAL SETBACK FROM TYPE OF EXISTING =O SIZE (/ STORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH t3 W DESCRIPTION OF WORK NEW ❑ {' ' N ADD - CORNER CUTOFF YES ❑ NO ❑ Z ALTER ❑ - - _ .REPAIR❑ IN'OPEN SPACE Y,ES•❑ NO ❑ USE,O EXISTI IN COASTAL PERMIT ZONE YES ❑ NO ❑' " EXISTING B,L9LDG. - - DEMOIL ❑ - A P P L I C A N�p /�. ' „- T E L J�/rQ r' t✓�i� I✓dK. a.eL.:N•"/ �6��,� r�°�-7�, � (PRINT) N0: BY (S I G N A'T U R E) I HER Y KNOWLEDGE THAT I HAVE EAD THIS APPLICATION �,_ AND STA HAT THE ABOVE IS CORRECT NO AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REG ATING BUILDING CON- STRUCTI,ON I CERTIFY THAT IN-DOI THE ,WORK AUTHORIZED -• - - HEREBY I WILL NOT EMPLOY AN -PERSON IN VIOLATION OF THE LABOR CODOF TH STATECALIFORNIA IN RELATING TO ` WORKMEN'S COMPEH STATE_ RANCE E - - SIGNATURE OF FINAL BY i PERMITTE DATE ADDRES s 7� CITY - NO. 7, •J�O fP.CiFee$ Permlt Fee �,_/-76 Issuance Fee VALUATION,$ • - ' Total Fee `PLAN CHECK VALIDATION 'CK M O CASH _ PERMIT-VALIDATION< CK ' M o CASH - _ 899'.` 9 , a, 76A638A,CE*Sg36 1,2/,73 - - - - -� 78A698A 0139.3 9.3E APPLICATION. FOR BUILDING PERMIT �. DIVISION OF BUILDING AND SAFETY B61LDING O Department of County Engineer ADDRESS _ County of Los Angeles LOCALITY WM.J. FOX, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS 9T. mom FOR APPLICANT TO FILL IN DISTRI O. GROUP, I TYPE �I SEWER /rG _ � CONST BUILDING ADDRESSt'AP NUMBER HWY JAW O _ BER ,-y- -USE ZONE SPECIA LOT NO. � Cir/! �l• t2BLOCK - - CONDITIONS ' TRACT 'G(� NO. OF BLDGS. BU ILDING EXIST. OF LOT �/ , Vy� NOW ON LOT jI SETBACK YARD HWY STREET NAME WIDTH USE OF ,t I FRONT �Jr -/0 EXISTING BLDG. A,.f •'�� !7 -17 E OWNER / x,/_�. MAIL /1 / / 7/_.I"�/A,t.. 7�`ZNLI O TRACT DWELL. f UNIT ADDRESS S INDUSTRIAL Y-v" y% fQ �ATEL�Q/ 1 .DWELL. 1 UNIT _ CITY .ail NO. 6 PUBLIC BLDG. ' ARCHITECT OR TEL. 2 DUPLEX f UNI - ENGINEER _ NO,' 7 ADDN., ALT.. ETC. - - 3 .APT. UNITS ADDRESS � `��C"'�v - 41 COMMERCIAL 8 MISCEL. CONTRACTORS/•/'^ 7,y�. O. a INS_ PECTION RECORD ADDRESS ''/!/�L/.L zy,ZAA-_�K/ -r DESCRIPTION OF WORK NEW 6'C-CADD ALTER REPAIR DEMOLISH / / ? OF NO. OF _ SIZE STORIES FAMILIES �.-//,I.t / a _� /_ USE OF ST U /-URE Z '�?�'�� /l/ll SIGNATURE OF/ / L�fP'• /CC1'.>:/lw�l , (!'�iV/1 !,/Ll. 100192 11?val�I APPLICANT - APPROVALS ADDRESS - DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION 6 l P.C. $ FORMS, MATERIALS OQ FEB FRAME: FIRE STOPS, VALUATION o00 8 �� BRACING, BOLTS 170-J l I O YO W9 uivvakl� FEE 4/ FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS •GAS VENT; DUCTS ' •--""""-� "�R APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. ZL 'I /� .Slil.�g7J_T1"IG/ AND STATE 'LAWS 'REGULATING BUILDING CONSTRUC-' - - - TION. LATH. EXT. SIGNATURE OR FJ�� H OUSE NUMBER COR- " PERMITTEE J rJy HOUSE AND POSTED ADDRESS.' " 'S^—s``=' - FINAL S,/6 'WM.J.FOX.COUNTY:ENGINEER VALIDATION C. N. DIRLANI, CHIEF BLDG. INSPECTOR 7GA53aA DBS-3 3-30 , Y -APPLICATION FOR BUILDING PERMIT DIVISION OF BUILDING AND SAFETY BUILDING ADDRESS r° Department of County Engineer AR 7— County of Los Angeles LOCALITY WM.J. FOX, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. - DISTRICT NO. GROUP PE SEWER BK' MA P6 FOR APPLICANT TO FILL IN CONST. BUILDING STATE MAP ADDRESS NUMBER HW,Y YES LOT NO. 4 USE ZONE SPECIAL - t v BLOCK- CONDITIONS TRACT � � I NO. OF SLOGS. BUILDINGEXIST.. SIZE OF LOT NOW ON LOT SETBACK YARD HWY T E NAME- WIDTH USE OF FRONT EXISTING BLDG. P L. OWNER SIDE _ P.L. MAIL ADDRESS ,,O � t O TRACT D E 1 UNIT �0 5 INDUSTRIAL CITY 1 ►el'Y1 IV�s� �' ��I NO.� - DWELL. 1 UNIT g PUBLIC BLDG. ARCHITECT Oft TEL. 2 DUPLEX I UNIT 7 ADDN.,'ALT., ETC,y ENGINEER NO. 3 ,APT. UNITS r 8 MISCEL. ADDRESS _ 4 ,COMMERCIAL U TEL No. INSPECTION RECORD " ADDRESS �/ J�A- 77, DESCRIPTION OF WORK P 00,P O IJ6-9-_ A4S NEW ADD ALTER REPAIR DEMOLISH SO. FT.- NO. OF NO.OF SIZE17 STORIES FAMILIES Q / /7 /pI lA USE OF STRUC RE O JC 6 U SIGNATURE O APPLICANT APPROVALS ADDRESS +� DATE INSPECTOR'S SIGNATURE WE FOUNDATION: LOCATION 12 r �.I// -� P.C. $ FORMS, MATERIALS t1(� / FEE FRAME: FIRE STOPS, VALUATION $ I- BRACING, BOLTS FEE FURNACE: LOCATION. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT ' AND AGREE'TO COMPLY WITH ALL COUNTY ORDINANCES' L'AtH. INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. 1 , '" I LATH, EXT. SIGNATURE OF �� HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ` '/11ADDRESS 9 T� / FINAL WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM. CHIEF BLDG. INSPECTOR . .- 3,7 0 2'n' DEC 27 1' 2.0 0 �► L� `rem nc.lry 76A638A CE#8032-63 APPLICATIONFOR BUILDING PERMIT. � COUNTY OF LOS ANGELES BUILDING ADDRESS s' DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LoCALITY JOHN A. LAMBIE..COUNTY ENGINEER NEAREST. WILLIAM A:JENSEN, SUPT OF BUILDING CROSS ST. DIST T NO. GROU TYPE. �y�.} PROCE D BY - FOR APPLICANT TO FILL IN Q CONST BUILDINGSTATISTICAL CLASSIFICATION SEWER MAP ADDRESS /1' 1 • - ,�,gK CLASS. NO. /`�/ DWELL. UNITS y_ (�- G LOT.NO. BL WATER CERTIFICATE: NOT REQUIRED ® RECEIVED ' - - TRACT - MAP .HIGHWAY STATE MAJOR SECON -LOCA NO.OF SLOGS. r NO. �v{,/ - (CIRCLE) SIZE OF L , NOW ON LOT t� U E ZONE PECIAL `- USE OF CONDITIONS EXISTING BLDG. ' T E CJI- OWN EXIST. BU- DING ' " SETBACK YARD' HWY STREET NAME - WIDTH ADDRES FRONT `/ �. 'T��a}- ARCH T O T C. P. L. 2_0 ENGINE `' SIDE P. L. ADDRE CONT r' TE 2 O ADDREla O DESCRIPTION OF WORK' • v W O_ E N "O�<ADD� ALTER REPAIR DEMOLISH N SQ. FT. NO. OF NO. OF ? SIZE STORIES FAMILIES FUSE OF - STRUCTURE - - ' SIGNATU%E OF - - - APPLICANT - - - - VALUATION $ �0 APPROVALS DATE _ �INSPE TOR'S SIGNATURE {M FOUNDATION:. LOCATION FEE $:3 •'?� FEE$ - +�(JV ,'FORMS, MATERIALS '� i'(,3zW- y,?y - FRAME: FIRE STOPS.. I HEREBY;ACKNOWLEDGE'THAT I HAVE READ THIS.APPLICATION BRACING, BOLTS _ +/ AND STATE THAT THE A BOV.E IS CORRECT AND AGREE TO COMPLY FURNACE: .LOCATION, ' WITH, ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT:DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN-DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY�ANY-PERSON IN VIOLA- LATH, INT.' TION OF. THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. •ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. - SIGNAT In HOUSE.NUMBER COR- , PERMITTEE RECT AND POSTED 'ADDRESS FINAL -' JOHN F. LEWIS. PRINCIPAL ST -TU RAL ENGI//(yJ EER PLAN.CHECK VALIDATION cK. M.O. CASH _' PERMIT VALIDATIO CK. M.O. CASH x 9 2 `773%Q Js 2 3 2`3 ti :; ' 3.7 5 ..� �a x'912 F 7 '23. 1 D' 15.0 0M " l j IrY WORKERS' COMPENSATION DECLARATION # r ' ( •3� •� �- 41 her, affirm yfl ot.li hdvQ a certificate of consent to self, �lC ��I®� I ®ING PERMIT insure, or u certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY ' Policy No( 7-81 Compan �P. y45= •{Ns. _ * BUILDING Certified'copy is hereby furnished . FOR APPLICANT,TO FILL IN ADDRESS 'law W757 ,d{�a , Certified copy is filed,with the county building inspec- BUILDING tion department' ADDRESS Date 'fir• I4! Applicant , CITY ZIP I LOCALITY U ~ CERTIFICATE OF EXEMPTION'FROM Wo NO OF BLDGS - NEAREST ' COMPENSATION INSURANCE - SIZE OF LOT �7 X DO ; NOW ON LOT Z CROSS ST' (This section need not'be completed.;tf the permit is'for orie ASSESSOR hundred-dollars ($100)or less') TRACT j/BLOCK L O-''7� MAP BOOK. PAGE;- - PARCEL _ /V L� NO� f��7D�- �J USE,ZONE- MAP 1 I - OWNER I certify that;m the performance of the work'for which this',' NO permit is issued,;l.shall`not employ any person`in.any manner SPECIAL 0 so as lo'become subjecl'to the Wofkers'Compensation Laws' ADDRESS { $ !� CONDITIONS �, CITY ZIP , Date ° 'Applicant _ ,. - = NOTICE TO APPLICANT- If;' after'makirig^this Certificate of ARCHITECT OR TEL _ DISTRICT G OUP TYPE FIRE PR ESSED BY, O Exemption,'you,-should become subject'to the Workers' ENGINEER NO 3, f!/ CONST 20NE W Compensationn-proJisions of the Labor'Code, you niust'forth- t (/1{(Jx J V' ADDRESS• with comply _with such provisions or,this 'permit-shall be TEL Q /q STATISTICAL CLASSIFI ATION APT CONDO � deemed revoked '. CONTRACTOR NO (! r 9/ `B7 Z LICENSED CONTRACTORS DECLARATION,, LIC CLASS tV0 "•DWELL UNITS I hereby affirm that I am Iicensedwnder provisions of Chapter 9 ADDRESS �, NO f�37 (commencing with Section 7000)of Division 3 o the Business and ICSEWERP r Professions Code, and my license is in full force and effect CITY Ill?(:. /7 cLAssBK :pG 3, VALIDATION A x/3,{2. NO OF NO OF CHECK „ License Number _&V0��9. bc� Class $ IZE . STORIES FAMILIES` I ONE - ,Q ,65 Z , ChR VALUATION Contractor Date DESCRIPTION OF WORK � r w NEW r ICY 71bM S� ADD r I am exempt urider S c D ALTER B&P C for this reason REPAIR ❑ . $ 4 7 9 1: A -Date USE OF DEPA _ EXISTING BLDG Signature y APPLICANT TEL" FINAL ;#MOL s • o • a l PRINT NO • DATE ' , 2 2 a 0 0 . OWNER-BUILDER DECL"A TION ✓ / o ^ °I hereby affirm that I am exempt fromAhe Contractor;s License Law for the following reason (Section 7031 5, Business and ADDRESS 44V 19 PWF4'�A✓b vL FINr , Professions Code) R 8 •'-'22a00� BUILDING - + 1, as owner,of the property,'.or my employees with ADDRESS w '0 9,1 5 --'8 7 wages as thetr,sole compensation,will do,the work and - the structure is not,mtended or offered for sale(Section' LOCALITY �• 7044, Business and Professions' Code), 1 MOVING TEL' ' 1, as owner of the property, am exclusively contracting CONTRACTOR NO a, with licensed contractors to-construct the project-(Sec- t ADDRESS' ,a' tion 7044, Business and Professions:Code) REQUIRED TOTAL SETBACK } CONSTRUCTION`LEND ING AGENCY -SET BACK YARD HWY PROP LINE •' s -WIDTH I hereby affirm that there is a construction lendirig.agericy•for FRONT r: s the" performance of the work for which this•permit is issued _ . p L au 4 (Sec.3097, Civ C ) SIDE•. ° t PC Lender's•Name LDMA Ref #- Lender's Address - PC Fee$ Permit Fee .7 7/ t, 'V s, F I certify that I have read this application and state that the Issuance Fee ��t/ kLDMA�P/C'#-- a above information is correct I agree to comply with all County Investigation Fee o 'ordinances and State jaws relating to building construction, Perm,Total Fees LDMA P # - R and hereby authonze'-representatives of this County to enter , upon the above-mentioned property for inspection purposes ' m +'7 �q,tp` v SEE REVERSEYOR EXPLANATORY LANGUAGE F Signature of ApRltcdZt or Agent , Dote +