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Home My WebLink About1160A (5) ��,�.,� � _ � CE-818;REV:.11/78):.... . . . .. ._. . .-.._. .... . . . ... ... . . . .. . � 0. APhLICATION FOR PFRNI`IT HEATBNG - V:ENTII.ATING - AIR CbN'DITIONING COUNTY OP LOS ANGELE$ " BUILDING AND SAFETY . .FOR RPPLICANTTO FILL'IN. ... . . a��N�� -�C�'fSi � ��,. ��.— .�..��.. � � ADDRE55�� IPRINiOftTYPEONLY) ' . ... . . .. � .." . ' . LOCALITY . NO. TYPEOFAPPLIANCEORE4VIPMEhT_�-. FEE � NEAREST,�� . GRO55 ST. . ABSORPTIDN UNIT,BTU' � ' � �- OWNER AIR HANDLING UNIT.GFM � MAIL^ � ' ' ADDRE55��. BOILER,BTU ��* . CITY d:i�� . J y._- TEL. . � 1� � GL�� `A � y COMPRESSOR,BTU CONTRACTOR /�� f 6r fTOL�s VENTILATIONSVSTEM� ' - pq ' A�DRESS� �7 H�� '��1Z6� EVAPORATIVE COOLER . CiTY ' TEL NO. ' FURNAGE: FAU__ RAVI � STATE ` ' � LIC. �j� F�OOR BTU � � � LICENSE NO. Z sJ+�✓ � � CLA55�.+%-L.' � HEATER; SUSPENDED�UN17�� '_._ pppqovu5 0 T iN5�cTOR' 'r WALL ' � � � ftOUGH �� , 0. . � - �. FINAL � � L1 � INSP C ION RE RD g � � h bJ Plon check fee 25%of pbove. � � PERMIT ISSUING FEE$ � TOTAL FEE � PLANCHECKP.PPLICANT - � �� P(„/�N CHECK VALIDATION . NAME . . . . . . . ADDRE55 � � �� GITY �TEL NO;� . � IHEREBYACKNOWLEDGE'HAT�I�HAVE�READTHISAPP4CATIONAND i �i C?l�.ii�� . .- � STATE THAT THE ABOVE I5�CORRECT AND AGREE � .�V'NITH�AL: OR�INANCES AND-LAWS�REGULATING HE G, VE4Ti ATING,'Alp , x m_. ? �� . � coNoinorviNc. � �: � �� PERMIT VALIDATION * � I HEREBY CERTIFY TH . I AM N �ACTIN N VIOLATIO� � M� I';"n . -. ' CHAPTER 9,DIV7510N 3, THE BUSINES�A ROFESSION OF THE STATE OF CAC IA. ( SIGNATURE a�fJ,� � '� `'� OFPERMIT-EE ' r �...� . . . �`...' `%:... . . ❑iSTPICTN� '��- � . �, '�'_ PpOCE55E�BV' � � �L �� + . . ' . . . ." '. .. - - . . - . . .. . . . . .�. ', ..... , _.... .._,_� , ::, J � . - .. ._. .. __ . . _. :�_ ..�_.�. .. _.,_ .. . . . ._ _ . �. .�., � � . ... . . . �. . . . .. �,.':. ' ..;�;`- ..:3 . ..i. . .. . " ,.. . . . . . . .. . . . ` . . .