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COUNTY OF LOS ANGELES Bu
ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY C/
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST
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FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 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 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODE THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMP SA 10 RANCE
LATH EXT
SIGNATURE OF HOUSE NUMBER COR
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FINAL P
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APPLICATION
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COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDINGD • oil
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS, SUP T OF BUILDING
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FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
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WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS I
STRUCTI ON I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
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DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING WM J FOX CHIEF ENGINEER 4
FOR APPLICANT TO FILL IN FOR OFFICE USE OTiLY
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1 NERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
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ALICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION OR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS MATERIALS
AND STATE LAWS REBULATIHM BUILDING CONST UCTION d
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SIGNATURE OF BRACING BOLTS
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