HomeMy Public PortalAbout5937 MUSCATEL AVE_Building__ L +
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CE 1803
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING W SAFETY
FOR APPLICANT TO FILL IN ADIDRESS
BUILDING
ADDRESS LOCALITY
NEAREST
CITY ZIP CROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
TRACT BLOCK LOT NO. DISTRICT GRO P TYPE FIRE CES BY
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OWNER �� T L-Zr,�,377/ o"�dS
�+ STATISTICAL CLASSIFICATION S ER MAP
ADDRESS 'i.��L/ .1 CLASS NO. DWELL.UNITS___j MK/OP/
CITY ZIP o
ARCHITECT OR jW TEL. VALUATION $ u
ENGINEER /—;o';4 S NO.
ADDRESS BLDG.SETBACK FROM
TO.EL. FRONT PROP.LINE OF (STREET)
CONTRACTOR Nr j TOTAL SETBACK FROM TYPE OF EXISTING
-/ LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS �/ �7�Cy NO. ti. Q�
LIC. +
CITY CLASS
BLDG.SETBACK FROM
CONSTRUC NDER
NAME A BRANCH SIDE PROP.LINE OF (STREET(
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITY • SIDE PROP.LINE HIGHWAY WIDTH 1116
SO. NO.OF NO.OF CHECK + _
SIZEFT STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW ❑ P.C.Fee$ -Z. Permit Fee p, ry U 0
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ALDTER ❑ Issuance Fee —7
REPAIR C] Total Fee '70 - G
USE OF DEMOL ❑
EXISTING BLDG. Z
APPLICANT TEL G
(PRINT) NO -7. 9 (o / 7 c, Q
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BY(SIGNATURE)
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IHEREBY ACKNOWL GE HAT I AVE READ THIS APPLICATION AND STATE
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AT THE ABOVE IS CORRECT AND AGREE TO MPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCT 1 CERTIFY THAT IN DOING THE Z3 V
WORK AUTHORIZED HEREBY I WILL NOT EMP ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORN I RELATING TO WORKMEN S COM• .� 2 +Z C/ Z
PENSATION INSURANCE. .J t�
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SIGNATURE OF 3 S-Z� C H
PERMITTEE
ADDRESS
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/�` �"J/ TEL. O
CITY +� NO.
US E NOF o� O 0 Q
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SPECIAL ~-
CONDITIONS
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FINAL S igY + si
DATE
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