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HomeMy Public PortalAbout10147 GREEN ST_Building__ TeAeaeA cElraoa ,8-" APPLICATION FOR BUILDING PERMIT . COUNTY OF LOS ANGELES BUILDING Q DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LocALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT of BuILDINa CROSS ST. DIST N I Gg�yUP TYPE PRO Y FOR APPLICANT TO FILL IN BUILDINGp� C STATISTICAL CLASSIFICATION SEWER MAP ADDRESS lot q +��YVc v� ✓ CLASS. NO.- DWELL. UNITE' LOT NO. WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT O MAP HIGHWAY STATE MAJOR BECON OCAL NO. OF BLDGS. NO. ICIRC Li) SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL. OWNER 4 NO. BUIL NO EXIST' YARD HWY STREET NAME yy T SETBACK WIDTH // ADDRESS �{to FRONT ARCHITECT OR TEL P. L. -20Q ENGINEER NO. SIDE P. L. ADDRESS TEL CONTRACTOR ~ NO. ADDRESS yex DESCRIPTION O WORK a NEW ADD ALTER REPAIR DEMO SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF (� STRUCTURE �J SIGNATUP,eOF APPLicAWT VALUATIONS Z� APPROVALS DATE INSFECTOR•S SIGNATUIIE FOUNDATION: LOCATION FEE S '�^ FEE f FORMS, MATERIALS FRAME: FIRE STOPS, I HERELY ACKNOWLF-0GE THAT I HAVI II[AD THIS APPLIPATION BRACI BOLT AND STATIC THAT THE ADOVK 11 CO RRICT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCKQ AND ETATI LAWS REGULATING GAS VENT. DUCTS EUILDI NG CONOTRUCTION. I CIRTIFY THAT IN DOING THI WORK AUTHORIZED HKRIEY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LASOR CODE OF THE STATE OF CA IFO IA RILAT- ING TO WORKMIN'0OM cNSATION I U NCI. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL 2Z" JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN R PLAN CHECK VALIDATION 'CK. M.O. CASH PERMIT VALIDATION CK. M.D. L�Lo5 0. 7 3, GCT 20 '1 D .4.00- q