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Home My WebLink About1157A (5) i _ � � 76.4354C� - . . . . .. . . . .. . � CE-B)8'RfV 111781 �. .: ` ,,, : _.:�. � .,. .. �� APPLtCliTION FOR PERI4�IT ` ,x � � �� AEISTIN�G - 'VFf�T'�'Ir`A�'li�'��- `A�R�C�FI�ITIOMfING COUNTY OF ROS AI�GELES' ' � BUILDING AND SAFETY . � .��..�..�, �. ......w�.». BVILDItdG" . ...-._.. n FQRAPPLICAN'P'"1`�C�'�1�1..11�'�� . nooaessp�, `�" �� /e �I 5 IPkINTOFFTYPE b+1LY1� . .�-�� U� .�.- LOCAL17V AfA 11P� NO. TVPEOFAPPLIANCEOREQUIPMENT � FEE �Y�� 6�� -- NEAREST��`-�� * ... ... CR�555T. �I=1N{JC� � liBSORPTION�UNIT,�6TU- - � jr� - . . OWNER _[� �"'� . M�' d AIRHANDLINGUNIT,�GFM �� - MAIL $'� � ADDRE55 � � N / l� BOILER,BTU �"- .� ��U� /�//) P . CITY TEL.NO. ,e, GOMPRESSOR,BTU ��" • � /O � CONTRACT6R-ylGRNb - Q �� ' .. ..._.. ....... VEN7ILATION SYSTEM � � �� AODRE55 EVAPORATIVE COOCER-�� '�� GITY TEL.NO. �� FURNACE: FAl7 GRAVITY -�0 � - LIC. FLOOR - TV SGAEN$E.ND'. CL SS ��' HEATER: � SUSPENDED -�.UNIT_._ AaPAOVa�S onrE SaEcrOR's5 ArURE WALL � � � ROUGH � y _.'_.. . .....,._ _.._�. �. FINAI � V ....... � I P I R� ORD � pt � � .. . . ,.:.,.�.,... _ ....,._.. ....�:<... � Plan check fee 25%of above. � _.. .< k.:..:..._� �_> � PERINIT ISSUING FEE$ � TOTALFEE __ .., . .-.,.. PLAN CHECK APPLIGANT � PLAN CHECK VALIDATION NAME ADDRE55 � . � - GITY � TEL.-NO. ;'� '�, �,'I.�..-. .. I HEREBY ACKNOWLEDGE TtIFYI HAV�R`EA6 TH75 APYCICAY ON ANb f� ;m�� STATE THA7 iHE�A80VE IS CORREC7 AV6 ' "PLY�WITH�ALL . � '• OROINANCES ANb'LAWS �EY�tI'CA'�I � HEATING, V TILATING.�AfR m [ONDITIONIfrG. � - .. . . �+.;a 3��;-�:�1�. RM 17 VAL]D'ATION -I HEREBV CEflTIFY'T I AM �T ACT G IN VIOLATI 'OF -- CHAPTER 9,DIVISION 3. iHE 6USIVE PROFESSIOM1AL C fr -' ' � ��`.1 4 - OF iHc STA7 '- '�F NIA. S�GNnru �� G�. . - OF PERMITT ' 615TRiCTNO.��-�'�� -� PROCESSE�6V� � � - � '!� Lit� G 4�" . f ,. .. . , . ... . . . . . . �.,. . . . .. . . .. . . . . � .. . . 'z��'.".,�^' "„ r' ., .. , , �, � � , _ . 'aa, ,'.- � ��. • • , „ :, < . ; ,, r � � : , � ,,, : �.�, .. , , ;:. , _ � � - ° _ . s ?`E. . ��::.r � . __.� _� � . ,_,"� . ., , ,a ; ��.k ; _ �• . � .