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HomeMy WebLinkAbout3323A© s 76A638A CE #803 (REV. 11 / 78) APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANG L S BUILDING AND ' SAFETYEM FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS LOCALITY ���A9 'dDf 5A' 91765 NEAREST CITY ZIP CROSS ST. NO. OF BLDGS. — — ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY TRACT O BLOCK I LOT NO. _ CONST. ZONE TEL _ pp OWNER GC S u :iS �'°> � �: a S A Q a,... € ;,'c 0 .1 9 4— 2 66 A' � P i 22210 CFI r �. `� �a�ba_ ��'m STATISTICAL CLASSIFICATION SEWER MAP DDRES A� .Le a _�13 , CLASS NO. DWELL. UNITS Z' BK PG i l-1 _-4 b l b b CITY ZIP ARCHITECT OR TEL "''�'4`'?; VALUATION ENGINEER NO.�.`j`' � LiDRESS` ` "�" _ = -�- t BLDG. SETBACK FROM i °jT.i TEL ;°p P7 FRONT PROP. LINE OF (STREET) CONTRACTOR NO TOTAL SETBACK FROM TYPEOF EXISTING LIC. HIGHWAY + YARD _ FRONT PROP. LINE HIGHWAY WIDTH ADDRESS % a 9P ) " Fs A g �,74- , .N�AO. a s a _ LIC6 — + _ CITYCLASS B — 1, CONSTRUCTION LENDER BLDG. SETBACK FROM SIDE PROP. LINE OF (STREET) NAME AND BRANCH HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP. LINE HIGHWAYi WIDTH SO. FT. NO. OF I NO- OF CHECK + cz SIZE STORIES FAMILIES ONE — 5gg USE ZONE MAP NO. Wa ESCRIPTIONhOF ORK NEW UP SPECIAL 0. ADD ® CONDITIONS _ BY ALTER FINAL REPAIR ® DATE USE OF DEMOL El EXISTING BLDG. APPLICANT TEL IPRINT T R `? , NO ? BY (SIGNATURE) Z Q I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES ear AND LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK. AUTHORIZED HEREBY I WILL NOT EMPLOY. ANY PERSON IN VIOLATION OF V THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z PENSATION INSURANCE.' SIGNATURE OF PERMITTEE ADDRESS `D ` 721: Al 71T. p F e T � A D L���`T��ID, acai2�s TEL. :�^:�9'�G��.� �.. CITY NO. > P.C. Fee $t Permit Fee Issuance Fee 09 W a Total Fee