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76 A364- CE BIB-1/7S'
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING j►�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN j
(PRINT OR TYPE ONLY) G
NO
TYPE & SIZE OF EQUIPMENT
SEE- BACK OF APPLICATION
'FEE
FORCE AIR FURNACE, BTU
COMPRESSOR, BTU
VENTILATION FAN
LIST ALL OTHERS BELOW
BUILDIN
ADDRESS /'`� r't G7'>,- ll•'L•/� G,r
LOCALITY
NEAREST
CROSS ST. //C.•."f,G�+<'i
OWNER
MAIL
ADDRESS
CITY' �•l1 t jr":' '� TEL'. NO. Let r�
CONTRACTOR .1 .l� '�7l f.
AODRES +..=1J �, ?.itir�i✓l:,Ly'�..r"q-t t i�
TEL. NO. f
STATE LIC.
LICENSE NO. `• /1 'f CLASS(`••— (
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`-s%�••y iS7HiCi N0, y.40UP .ONE PROCESSED BY
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INSPECTION RECORD. 0
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Plan check fee. See reverse. j 1—
PV.101I'I' FI•;I: 00
I,O I':V. VICE ,.
PLAN CHECK`APPLIC tJ .'
NAME
ADDRESS
CITY ,TEL.N
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION "
AND STATE THAT THE ABOVE IS CORRECT AN0 AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENT I-, APPROVALS DATE INSPECTOR'S SIGNATURE
LATING. AIR CONDITIONING.
rN � ROUGH'
I HERE BY, CERTIFY tHAt I/AM NOT; C TING/N VIOLATION
OF CHAPTER 9, DIVISION13; QF fHE BUSfNESS Ay!l PROFESSIONAL FINAL ' •/
CODE OF THE STATVF CA 4J
SIGNATURE
PERMIT VALIDATION' ,�4--: cases
OF PERMITTEE_
f
.PLAN CHECK VALIDATION CK, M.O. CASH.'
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