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Home My WebLink About1158A i . � 76A364C . . . .. . . . - . . . . . .. .. ' . CE-818�lREV.17/YS) : . . _ ' . _ .... ..: . .. ..... �.. `. . . . . . . . �� APPLICATION FOR PERMiT HEI6ifNG - VENTI4ATING - AIR"C�NDIiTONING COUNTY OF LOS,ANGELES BUILDING dND SAFETY FOR APPLIGAN7 TO FILL IN eui�ow� ` +� � (PRINTORTYFEONLV) ADDRESS • �'/� T/2'.:J�z� .. _..: .....:. ,:::� _. . � LOCALITY � � - NO. TYPE OF APPLIANGE OR EOUIPMEN7.� FEE � NEAREST" �� CROSS ST.' ABSORPTION UNIT,BTU�- � - OWNER��J AIR HANDLING UNIT,CFM � MAIL � � ' ' ' � A�DRESS' �� g BOILER,BTU CITY ' i..,, o�..,i� TEL.NO.f ��I_ e',,...�+��' �y . Gtr�'� COMPRESSOR,BTV �� °ry� Hr GONTRACTOR�rC , �� Z. VENTILATION SYSTEM ' - !� � A�DRESS .] l EVAPORATIVE GODLER ' ' ' ' CITY. �.� ,��w.� - TEL.NO. � � FLOORCE: FP.LJ gTUGR/iVl Y � ,� SCAENSENO. u�/4'J �� GLASSC/'!�'G/ � HEATER:�� 5USPENDED�' -._,UN.IT��__ � qppRovn�s onTe rvsaECro' nruaE WALL � - � - ROUGH '. � . .. .. .. . - FINAL � LD INS T R ORD � � Plan check fee 25%of above. � _ ; _ vc PERMIT ISSUING FEE$ � TOTAL FEE � a�nrv cHecK aaPucnNT PLAN CHECK VALIDATION NAME . .. . . . ... . . � ADDRE55 � - . � � .. , . .. ,._ i � :x t:-{� . . � CITY - -�TEL.N2].:. . . � � I HEFEBY ACKNOWLEDGE THAT I HAVE REAO THIS APPGCATION AND�"�� „ + �k�/:'.`�. STATE THAT THE ABOVE IS�CORflECT AND�AGREE 70' 1PiY WITH PLL . ORDIN0.NCE5�ANp�lAWS fiEGULATING HEATI VEN IATING.�AIR� 'd °'G��,��.� .'_. � _ , coNoiriowN�. . - � PERMIT VALIDATION . I HEFtEBV CERTIFV T AT I AM N -�AGT IN��VIOLATI OF. - ' j��-'�r'��L� . .. .CHAPTER 9,��IVISION 3. F THE B�SIN 55�A PROFESSIONA CO A OFTHESTATEOFC F FNIA�- t.i'�^ `.(y- . , SIGNA E 0=PERMITT y �ISTRICTNO.�- - ��"� - ' ��' � PROCESSE�8Y'� - �� .. . �� . `" . � � . . .. .. .. . . ., .. . . : . .., . . . . . , e . , _ . ,. . ,, , , . �.