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Job Address

2. House Number*
3. Street Name*
   -- Select One --Acacia StAcaso StAgnes AveAlessandro AveArden AveArden DrArdenel AveArdsley DrArrowood StAvon AveBaldwin AveBarela AveBartlett AveBidwell StBirchland PlBisby StBlackley StBogue StBroadwayBurghardt RdBurton AveButtons AveCallita StCambury AveCamellia AveCamino Real AveCloverly AveCraiglee StDaines DrDaineswood DrDaleview AveDanbury StDegas AveDoreen AveDuffy StDupuy CircleEl Monte AveEllis LnElm AveEmperor AveEncinita AveEstrella AveFairhall StFairview AveFarago AveFiesta AveFlaherty StFortson DrFratus DrFreer StGaribaldi AveGidley StGlickman AveGolden West AveGracewood AveGrand AveGreen StGreen Tree LnHaldeman StHalifax RdHallowell AveHallwood DrHarker AveHart AveHecla AveHeleo AveHermosa DrHilton AveHowland DrIvar AveJaylee DrKauffman AveKennerly StKey West StLa Rosa DrLandseer StLas Tunas DrLemon AveLeslie DrLinden LaneLive Oak AveLivia AveLoma AveLongden AveLora StLower Azusa RdLyledale StLynrose StMcClintock AveMcCulloch AveMiller DrMiloann StMuscatel AveMyda AveNadine StNoel DrOak AveOlema StOlive CtOlive StPal Mal AveParmerton AvePentland StPersimmon AvePrimrose AveRancho Real RdRandwick DrReno AveRichmond WayRio Hondo AveRobinhood AveRoccus LnRoseglen StRosemead BlvdRosevale DrRowland AveRyland AveSaint James DrSalter AveSanta Anita AveSara Mar LnSaunders CirSereno DrSparklett StSultana AveTemple City BlvdTree Rose TerTrelawney AveVal StVillage Circle DrWarman LnWedgewood StWelland AveWendon StWildflower RdWillmonte AveWindsor LnWoodruff AveWoolley StWorkman AveWorthington DrZadell Rd
4. Unit No.
6. Continue

Applicant Information

2. Applicant Name*
4. Phone*
5. Email*
7. Applicant is:*

   1. Owner/Builder
   2. Contractor
   3. Other
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Fees

2. Insert fee provided by building permit technician. Call (626) 285-0488
4. Fee Amount
   Fee
5. Price
   Insert fee provided by building permit technician. Call (626) 285-0488 for assistance.
6. Quantity
7. Shipping Cost
9. Taxable
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Signature

2. Signature
   All information submitted in this online application and the uploaded documents is true and correct to the best of my knowledge and ability. By submitting this application online and checking the box to the right, I am signing this application electronically. I agree that my electronic signature is the legal equivalent of my manual signature.
3. Check to Sign Electronically*

   1. Signed
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4. Calculate Totals Proceed to Checkout | Go Back

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