HomeMy Public PortalAbout5433 WELLAND AVE_Building__ ®S 78A638A -- - -
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APPLICATION FOR. BUILD-ING,PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT•TO FILL IN ADDRESS )
BUILDING Y
ADDRESS a LOCALITY eY
NEAREST AA ,
CITY J ZIP CROSS y
NO. F BLDGS. ASSESSOR
SIZE OF LOT ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE PROCESSED BY
TRACT F3Z,6G BLOCK . LOT NO. ?✓� CpNST. ZONE
TEL S O(� b C�
OWNER NO T
STATISTICAL CLASSIFICATION SEWER MA
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�. CLASS NO. DWELL.UNITS irBK PG
CITY ZIP
ARCHITECT OR TEL. VALUATION $
ENGINEER NO.
ADDRESS BLDG.SETBACK FROM
QW
TEL. FRONT PROP.LINE OF ISTREETI
CONTRACTOR01MNO HIGHWAY. + YARD ,_ TOTAL SETBACK FROM TYPE OF EXISTING
LIC. - FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS NO.
LIC. t =
CITY CLASS
BLDG.SETBACK FROM
CONSTRUCTION LENDER
NAME AND BRANCH. SIDE PROP.LINE OF (STREEiI
HIGHWAY + YARD = TOTAL'SETBACKFROM TYPEOF 1EXISTING
ADDRESS CITY SIDE PROP.LINE HIGHWAY1 WIDTH
SQ.FT. , NO.OF NO.OF CHECK + _
SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW 4 P.C.Fee$ Permit Fee F r
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USE OF / DEMOL '❑
EXISTING BLDG. Z
APPLICANT TE C 1 .112. 1 A
(PRINT) \ N <
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BY(SIGNATUROaU
I HEREBY ACKNOWLEDGE TH HAVE READ THIS APPLICATION AND STATE V ° ° 5,2 4 536
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL-ORDINANCES W ,
ING THE
WORKUTHORIZ DT EREBYI IAND LAWS REGULAING DWILL NOING T EMPLOY ANY PSE IRSONFINFY TATVIOLT ON OF - V ° ° ° 4 S 3 6 C
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM, Z 7
PENS ATION IN RANGE. + g 11.2 0-'/ 8
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PERMITTEE
ADDRESS # 0 0 0 0 0 1
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DATE