HomeMy Public PortalAbout5721 OAK AVE_Building_4/17/1979_/f 76A63PA
CE #81 6/781
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APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES
FOR APPLICANT TO FILL IN
BUILDING.
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NAME AND BRANCH
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STATISTICAL 'LASSIFIC TION
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VALUATION I �/ �• •' V I
SIZE I STORIES I FAMILIES I ONE
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Permit Fee
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TYPE OF EXISTING
HIGHWAY WIDTH I
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SO FT NO. OF NO. OF CHECK
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SIZE I STORIES I FAMILIES I ONE
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Permit Fee
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
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THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE
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WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM
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PENSATION INSURANCE.
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