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HomeMy WebLinkAbout1026A (5) � _ �•,•�;; :',,�,�,,���,�-�.^�t:,T,�ti � CE� fl7II(280) �{�PLICATION FOR PERMIT � �� � � i I c c I(i;:.ile nf cn�•�rn[ tn self � r i�rt rs c�mpens�tinn In<urance,or HEATING-VENTILATING-AIR CONDITIONING ,,�..,�': :, , .... �..�i..c.x�00.Lsh.r'.) � �� "� � COUNTY OF LOS ANGELES BUILDING AND SAFETY i i : . ,.� . . �,�,ti����,t.�,r,t. �f� ..,.�i �til� �•.�rth�'•r rnunn Ouildinq in<pectinn Y F3UILDING FaR APPLICANT TO FILL IN Q / aooREss ���1�t��qa� . I'.��{ �Q_�g� I ��rr � . � (PRINT DR TVPE ONLY) ^� � y��/� p NO. TYPE OF APPL�/�NC[03 EQUIPMENT FEE LOCALITY l, 1 ._.,��[�It'4 : IiI�C.iL?Ir I I �I'RU`,1 lSlJlthi-.,U•f�W 1 VN � :';IT:'�S.?T!U.^:1\iUP:\\CC NEAFEST 1��(�� �..... �r I,�. Cfi^.1n�Cfei1 i( ���^ t�'(i�k incnlecd Inesonrriorvur.�ir.rsru C(10SSST. a !':.� .. , ����i:c i. .r, r�rc ;:undred dnll�rt (S10f1)or IcSS.J � — O�STfiICTNO. 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