HomeMy WebLinkAbout1493A- CF 4809 (REV. 11 / 78; - II
APPLICATION FOR: BU„ILDING,PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO'FILL IN
BUILDING
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BY 1511,NA7UREI
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I HEREBY ACKNOWLEDGE `HAT I HAVE READ IH S APPL CATION AND STATE
'HAT THE ABOVE IS CORRZCT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BLILD. NG CONSTRUCTION. I CERTIFY TH IN DOINGTHE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY P OYI VIOLATION OP
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PENSABRCNOOEONCESiATEO CALIFORNIA IN�ELA GT YORKMEN:B CO. -Q
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PLANS TO APPLICANT
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NO. DATE
NO DATE
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BEaUIRED
DATE RECEIVED
OR APPROVED
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HEALTH DEPARTMENT
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