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Home My Public Portal About6027 OAK AVE_Building__ °:. •.: TEMPLE CITY qq IBA888A CBy808•f-et APPLICATION FOR BUILDING PERMIT dOUNTY OF LOS ANGELES BUILDING ADDRESS LJ��qp x�( ,/ /`Y Y - DEPARTMENT OF COUNTY ENGINEER - � � BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENQINEER NEAREST'• , WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.�(/ Q DISTRI T N GR h•PE PR C Y. FOR APPLICANT TO FILL IN ;' CONST. BUILDING STATISTICAL IFICATION SEWER MAP ADDRESS D O/--K BK PG- 4 CLASS.NO. DWELL.UNITS LOT NO. 1 r'�//e YO BLOCK WATER• NOT REQUIRED RECEIVED CERTIFICATE: TRACT MAP D© HIGHWAY STATE MAJOR SECON LOCAL NO.OF BLDGS. NO. (CIRCLE)' SIZE OF LOT. I NOW ON LOT USE ZONE STPECIAL USE OF 'CONDITIONS EXISTING BLDG. rej 4A OWNE -�k •f% NO ;d'S7oS BU L INC EXIST. /' , YARD HWY STREET NAME ADDRESS (O.0 Z / / �+ SETBACK WIDTH FRONT p ARCHITECT OR - TEL. •- P.L. ENGINEER NO. SIDE P.L. O} ADDRESS TEL. INSPECTION RECORD 0 CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK ' NEW ADD ' ALTER REPAIR DEMOLISH SQ.FT. "' NO.OF NO.OF - •- IZE 4 VC, STORIES "FAMILIES USE OF - STRUCTURE ' SIGNATURE OF APPLICANT =_^ VALUATION$ , 0-0 -.APPROVALS ATE INSPECTORStIGNATIIRE F E $ FEE $ V(� FOFORMS!MA ERIAATS /17 FRAME:FIRE STOPS, /�� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRAE .111,11 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION. VL' 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 OF THE STATE OF CALIFORNIA RELAT- -14 4• �� ING TO WORKMEN'S COMPENSATION INSURANCE. ry.� LATH,EXT. SIGNATUR�9,bL- HOUSE NUMBER COR- PERMITU b� FINARECT L' POSTED ADDRESS FINAL CLYDE N. DIRLAM, PIkIN�IPAL STR IL�FNGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.jr M.O. CASH LCO2 3:•O 6Q! AL30 1 D 6.00cu