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Home My WebLink About1628A (9) i , _ 76A364C .. . . . . . . . . CE�-818(REV.11/78�: .. . . .. ... .. . .. .. ..., . . . .. .. . .. ... . ...... . .. . ... .. ... . . .'�� . ".: �� APPUCATION FOR PERM{T � HEAiING - VENTILATCNG - AIR CONDITIONING � COUNTY OF LOS ANGELE5 BUILDING AND SAFETY .,� _., r FORAPPLICANTTO'FfLL7N" eui��iN� ^ IPRINTORTYPEONLv) - />DDRE55 � LOCALITV. �� NO. TYPEOFAPPLIANCEOFi.EpUfPMENT FEE- NEAREST CRO55 ST. ABSORPTION VNIT,BTU �� 01NNER ) � AIR HANDLING UNIT.GFM � - ��MAIL ' ��/3� ADDRE55 BOILER,BTU_A`��1 � � . C ITY' COMPRESSOR,BTU � CONTRACTOR VENTILATION SYSTEM ' ' ' ADDRE EVAPORATIVE COOLER� C ITY 7 FURNACE: FAU_GRAVITY STATE' LIG. �"- FLOOR � BTU � �� LICENSE NO- ' CLASS � HEATER: � SUSPENLJ�D_UNIT�� pPPROVA�S - �ATE� � INSPECTOR'S-SIGNATUPE � W ALL � ROVGH . � t�.'� r„ � .. ' . FINAL � r`' `i L7 Idd . INSPE ION E�CORD � �'".� Z Pian check fee 25%of above. PERMIT ISSUING FEE$ r( �. TOTAL FEE �,�"( � PLAN GHEGK APPLICnNT PLAN CHECK VALIDATION NAME AbDRE55� � . - � - � � CITY � TEL.NO. . - I HEREBV ACNNOWLEDGE THAT'I HAVE�REAO THIS�AGPLIC�ATION-AND-� � STFTE THAT THE A80VE IS CORRECT ANO AGREE TO COMPLV�WITH ALL OROINANCES�AN� LA(N5�REGULATING FIEF.T(NG VENTILAYNG;��'�A:R�� ' covoinoNiNc. � � � PERMIT VALIbATIDN � �] h�G�5.�F1 i HERE9Y-CERTIFY THAT I AM NOT ACTING fN VIOLATION OF� �� " � CHAPTER 9,DIV15104 3,�O HE BUSfNES �NO PROFESSiONAL��CObE� �� `� � OFTHESTATE�OF'CALIFO 1. � � SIGNATURE � "� OFPERMIT?EE "f'Q aG%,'J0 ; ' DISTRICTNO .... . ..� . �.- PPOCESSE�B1'� . .. `,�.�'�(1. . C,G6 9 r �d ��•�@, p7,1 ��&G I J\.. ,. � . . . . dr, _ . �. , _ ._ _ . . __ _ _ _, �. , , _ _. ,�, , ,r. _ .. �, _ �-= - • . . . . . - .. � -�"' - - . . . � - . f. .