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HomeMy WebLinkAbout1836A (11) `.!'OF'-_KFRSCO^.IPP'.vSAilOAL'FCLARATIC)A 76A364C /� �����/����� ��� p������ . CE R181Z-80) �'9 P'1 � � ,•, � �; .. _ . � _.ie cf_;;r,;.rt [o srlf = u i� ory eatFra[r (\urt:ersCompensationlnsurnncc,or N�?�T�r;�-VE'VTIL:,TING-AIR CONDiTIONING .l C d l 1(!:Ih (tit'L 3h0(1 �1� (�.) � ��„��,:W P 83f��5,�, _1'����L� ❑ C��rtitic;f rnpy is harehy P�,ir��snrd. �{ COUNTY OF LOS ANGELES k3UILDING A(VD SAFETY ���r�z�r�.���� '!'' 3�JC0 Lc�-]' p:is�iltd tviE wuc -bui'.re in iecti�in 3 ��eep3 ennnttt 4 �� . � FOR APPLICANT TO FILL IN ,Ruit_ow� Q �,�C�� � I �•_::���� 4���:1i��,�t_ � (PRINT OR TYpF QNLY1 p ADDRESS p4T.—_. _._...__—._�_ � � 4 ; �—j LCC:�LITY ' U�.RC[PIC iIE Gh`k1'�.iPl iOV 1�ILU'x11GORKF:RS' � fv0. i7VPE OF Ar'PLIAICE OR EGUIP^AENT � FEc i f.�tAM.UN..(� � CU`,119'1S.1TlOti 1\til:� .ati(:I: — �T NE:REST � i� � �CROSS ST. a (ThtS .iction neeJ not be COnp� �cd e� [hC `.!'C:k invoh�ed � A9SORPTION UNIT.STU � � � - e �ermit �c for c,n+. h,�,�eina 10 iars (5(;i�) or 1es�J ... - . . ���sTF c*ne Pr��,ce�seo ev [ .r[f� tt n[ n hr perfnnnan�c nt th rk tur which this AIR HANDLING UNIT,CF1� � � � I� (� � U ' .—...... ___.- _ • /\\1A�, ,, ¢ urt is issued 1 tihsll not rmnl , persn �n an� mnnner � - • l I S \,�X�+v�1 0 c !.tu h� me s�,bieci t.;C- d:rarn'Co , _sa'on La}cs. i ���eO1LER,BTU_ i � �— • � � ^� APPP,OVAL�C � DAT'r '^.5?LCTOH5il'vNArUqE � U 1>at��GI I� znt . � l_I CJlt{'P[^.SCR,9TiJ _� ' IV�O�� � —�—� d .- --- E v� tt rc�aNi u � i� •,r � _ _ �...c,:��c:„r � �`-'"— —: 3 �_.� _ � 1 a 1 n -.� �h�i17 1 - n tiuh t� � ,�vo��TIL,:'iiOh SrSYL�.� _ _ !FW/1L � {� � Z . �.,;rkerc' . .. T . ntiennn nr ��i. f F [ I r( �-t �u mt t forth ! ' � , �omp -i i s� li r �str. t � EVAPJRATIVE COOLER � � :; r r_it �hall be ; � V`LIDATION f ���nri rtv ik ed � —_.. .. . .. .......--_� 'FUA'JACE' -�I! c��.Ei_�t V}�.� ! ��[ �!���i h ..-1:_ -(.� 4 l-r .. � 1...()F [iTL 1—t1�.7V+v_. It�`�,_� J..11� 1 I .}t �tirr�t i.ft� m 1�: ���r 1�r >r�i - .�f C'hs��tcr ,'HEATER: �USP�hDED UNIT � ��.�i.ln„ c �.�th S.cci�,n .�nn)��t ilivi<i n 3 r�p�ha F�.� � , :"JALL � � -n7 ! _ \� .� ...;,, ��� , y ', * .i..�. C;:It`:�r�_d;;�id ��a � " i g229o.�Ico C� L�; �: Uc � 4 � � � ,, �. � � ,�.�s. C 2c� �-J-__.IL�1_.—Z5��L__�S 1��_.__: �_ _ -- ; � HP.K(�tSs,�l �:�t,: 2-z�,-84 � ' � '�1 �5 �? ,..r..,�<<,. =----�- ---.._ _... , _T. ; ; , � � � � 1�m c�e^,pt tlo i t..� li .�_.ii. r�.�ui•.,:ne:m as I sm a a � — -------^—S � ��: � .� - � , i �•,e,r:ccr `Plnn check fee?b.'o of aoove. � � ` A � �<<<�,� �, n f ,�,� � . ,� �s� .,,,,, ,��,. �„e_ � ` : �1 B�b � i��c;s „��. �n.i,;�.��i. y PERiV1tT 1SSUSIVG FE'c S1�_r]b: -- ---- ' � i i . ; �{ . . ... .$ � r i.e �.. ..i�, � . �._ i �. � -------- --TaTAL FEE �i 0O. �� r T, _!4_ i . .4aoo �P�:aN c;HELK.iPPL�CANT , 5 r.r, � r._ i � :,f�,; ,,� i . . .4800� Li��.rnce �,: ���r lhe f�41m.,:re r._...��n � ertinn '03L,�. Ri�� i — : . . ��t�> i�,���,r��.a�,r:c�dc), ' €AD�P.E55 ; 0 3 0 1 �8 4 G �cs .,, cr ;;t th -nl'��rtp,i�:L'I dn �he ��ark �1 the e n s[ructure^i; :�nt in[rix3rd , �an:d for sa.l:• (Sc.^li^n �CITY � TELNO. ; 7naa.iti�.-i :can-- -�t.:-.i�, ( .:1. �—. — —_ ____ ...._--_____—.�± � I,as< �n nf llre �OWNER C^�-.�,��D (�.�V_ � p o{.erty, im csclusi.:!y cc;ntracfinq —7tix_H IJ\. wilh li:c:ieed coo[r2ctors to cun:tract the proiec[ iMAIL �{�� —���p I St y �* (,cec[iun`Ildd.Butin..csnd Prnfe=ci,�rsc Code). .,:DOR'eS5�tG�L�JLY�._� ��JN�� 1� COVSTRI!("flf)V I.J�'�1JING ar;if.��'CY iCI7YO�A NC�C TFL.NO. � I hcrc6} affirm th�t !h�rr ii a a�n�tr.iction !rn:lin�!aq,encp � �� fur [he rfotntance ��f [hr wurk fnr �vhich [his �CUNTRACTOR ��\ ° F� �1�'llllit IS � �""I�� �JVN H�rC-� � . issued(.Suc.3097.('iv.C.1. �; � v q�p 2� �Th,t y� ' Lcndrr's Vs�ne......_... qA�GRE55 1C� 1� f..7�+ I lvi�lt L-nder'S Addrcsti_... . .. ... ..- ___.__._ :CITY/A���`� A TEL.NO. � 1 ccrtit� th,it f h;ive r;�d [his oEp�.c3[ion and statz th.i� thc �� --`—N_�`f� _ � y STATE 2 LIC. � :ihuc¢inf��rnia[i��n iti rurrecl.I nerre tu cumpl}��vith:fll Cuunty 'UCENSE NO. 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