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HomeMy WebLinkAbout0019A (4) i � 76A364C GE-818(REV.11/78j �, APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDIT10N1NG COUNTY OF LOS ANGELES BUIID{NG AND SAFETY FOR APPLICANTTO FILL IN BUILDING q ., ADDRE55 p��S'�IS Li Q h�l�v�fl iPRINT OR 7YPE ONLY1 LOCALITY b���� QCtr � � NO. TYPE OF APPLIANCE OR E�UIPMENT FEE NEAREST A1 1 CRO55 ST. y/:0.v�A.� �a-`��+� AE350RPTION UNI7.BTU � �p � OWNER q W�MiS ��• . AIR NANDLING UNIT.CFM MAIL / [' ADDRE55 ! l�D DoU e (1 3 Z'O , BOIIER.8TU CITY � � ���. TEL.NO.�'y 6 _F�a ��.� ��y� .�� � COMPRESSOR.BTU��_�G do3 CONTRACTOR � �� � NC VENTILATION SYSTEM ADDRE55 � � �e� ' . EVAPORATIVE COOLER CITY �.�L���.� TEL.N0.7?�.��{�( ! S FLOORCE: FAU BTu GRAVITY STATE c �n LIC. } , O +'� � LICENSE NO./.5 GE1 G 4 CLASS C^o�a ��1 HEATER: SUSPENDED UNIT_ �' pPPROVRLS DATE INSPEC70R'SSIGNATURE u ' WALL � i ) p ROUGH n � �S �cL�k. ��. �� � , � u ' FINAL W A. INSPE TION ECORD vi Z �fr ����� ����� Q�� � Plan check fee 25%of above. � ' PERMIT ISSUING FEE; � TOTAL FEE PLAN CHECK APPLICANT �i . P�,qN CHEGK VALIDATION � NAME K„�,� `r lAa-�-�• s^4�'' � %^ . �. ADDRESS � �.�_ �,� ; CITY ���Q^ TEL..NO. 77�_(y c�, , 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND � STATE THAT TNE ABOVE IS CORRECT AND AGREE TO COM17PLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING. VENTILATING, AIR cor+oirioNir+c. PERMIT VALIDATION �0�0 1.9 A ' I MEREBY CERTIFY THAT I AM NOT AC71NG IN VIOLATION OF CHAPTER 9. DIVISION 3, OF THE BUSINE55 ANO PROFESSIONAL CODE �i�• • �•• U•1 . OF THE STATE OF CAIIFORNIA. . . . OF PERMI'TTEE ��� � � ���•4 O DISTRICTNO. PROCESSED BY �•� 2 S l�O O U - )p ` OL.22.-80 � , ' •.. . , � . .. � �_ � . . . , � , � .. .. ... . . � ' _ ..5� .�. . . - r , . . ;�, ' '.. .1 j � . . , ... . . . . __. . � �. ., �. . .. . •; , . ._ ..� . _...._ _ ..... . . . _ .. ... .. . .__ ._ . _.. . . .. .. . . .. .. � . . . ... . . . . .. _. _ � , � ,� � � - � ... . . .._... ."'_ ' _' ' _ '__" ""_ _... . . .. .... . """" ' � , � ' . ., i � � - ... . . . .. ' . ...— . . ' _..: . . -- . _._. . . ..i ' . ; - -.--- . . . • ._.:_.. .• . _: ,. .. , ., .. . , . ,. , . _ : _ . ...... ... .. . . ...:... .._.._.....__ . .. ... . . � -r-- - ;: � � . . . , � . •� . .. , . .. .. .. � -- :. , .. - , . , .., - - - -- - ... -- . . .. _ , . � ��. • ,. . .. . . _.. . � , , ; ; • . ,_.. , � , . ., : _ . .., , ._ ,;., _._.. _ . _ . _..----....-- -. . : . .... ... . . .... . . _. . ._. ., . ._ . . . _ . . _. . . „ � : . , . . . ... i . . . , . .i�:J�. . � ., . . , . .� . .. . - - , . , . . . ... . , . .. . ., . . . . ;_. _.. ---.. - . ... ... . .i -_.._. . . ._. . . . .. .... . ....... . . . ._ . .... _.. . _ _ _ ., .. _ . .. ..... .. . .. . . . .... .._. _.. . . _ . -" . __ . .. ' .. . � - -�----� --- .. . j�.1 ��.:',1 • _I '. i� ! _. � , ' ' ----. . . _. ._ .. .. ._ .l. .-- ' - -- ' -- - .. . . . .. . .. . ._. . __ . .. . . � •- - �� r.. , : . . �� � • . . _ . . , _ ........ . . ..__._. _ .. _. . - ----- ._. ... . .. ._. F —.-_- ..... . ... . .. . .. .. . . . .. . . � ' .... 1�� . • .... ._ ' � � + , . ._. ._ ... .. . _. _ . .. . . ... __". ' '__... _ .__ . • __ .__'_. _ . . _ _._____ ___ . _ __. .__ . ___.___- ' .I J '1 ' I • , . , ,' .. . - ,..-'.. -� - - ---�-- -- --- --...__... .. . . . _ . ,.._.. .. ... .-- -. � - .,. _.._. . . . � i�'.", � ..: „ :.. , � � ..�:;. i . �.. i -t : :. . _ _ , . .. . . _.. .._.. ... . _ . � . ,. , . . . • -- -- - --�- -- . ... . � . , - - �- - --- - - -. _.. .. _ ' i: '�t i J ;l _. � . .i '�. ' •. . . . � �:.. , ,. . � . r . . � , . . � . � '1 - , � . . � � ' .� � .. ,. . • . . �, . ,. -. , :. ; ._J . - . � ,' ... . . ., . ., c a . , . � ,. .. � � '1 .,-`i . , - - =�' ' �) `,(°�-��-- ,._._.... .-- -- 1l . _ .. '