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Home My WebLink About1602A (9) � ... .- ---�. ! ��; 76A364C CE•818(REV.11/78) os APPLICATION FOR PERMIT NEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING AND SAFETY ` FOR APPLICANTTO FILL IN qDDRE55 � v (PRINT OR TYPE ONLY) � �' LOCALITY � �•11/ ' ' NO. TYPE OF APFLIANCE OR EOUIPMENT FEE �` NEAREST CRO55 5T. , ABSORPTION UNIT,BTU OWNER u -- AIF HANDLING UNIT,CFM MAIL ADDRE55 BOILER.BTU CITY � TEL.NO. / COMPRESSOR,BTU �� v CONTRACTOR �� `I �'Z v VENTILATION SYSTEM < qD�RE55 / � // � , � _ EVAPORATIVE COOLER �� CITY T N ^ ' l �/Q / e� / Ga FURNACE: FAU GRAVITY STATE LIC. 0. i ' FLOOR BTU LIGENSE NO._ � GLAS Q HEATER: SUSPENOED UNIT� APPROVALS DATE INSPECTOR'SSIGNATUAE u ' WALL d' ROUGH �iL.c�-� ...� c!�C) � ; FINAL � � 5 � V INSPECTION RECOR a N Z Plan check fee 25%of above. , PERMIT ISSUING FEE; iQ ' TOTAL FEE d P�ANCHECKnPaucnrvT PLAN CHECK VALIDATION NAME � ADDqE55 CITY TEL.NO. �J Qj'N' �a � � I HEREBY ACKNOWLEDGE THAT I HAVE READ TNIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL n � ORDINANCES AND LAWS REGULATING HEATIKG, VENTILA7ING, AIR '��' � b Q L!'1 . coNoiTioNiNc. PERMIT VALIDATION • 1 HEREBY CERTIFY THAT I AA1 NOT ACTING IN VIOLATION�OF �#� • • • • [j:� � � � CHAPTER 9, DIVISION 3. OF THE BUSINES AND PROFESSIONAL CODE � OF THE STATE OF CALIF RNIA. �� • � 5 �.C O SIGNATURE �` ✓ � ' � OFPERMITTEE ��IV �'�� ,s •�J�' �.�� DISTRICTNO. PROGESSEO BY � . l� �,�.u,c� �7, 1 5=8� A , � / I -.- . - -- --- ------ _ _ . __ __ ..__. _.. ._- --... ... .. .. � i .. _ ,!:: .�<� . .� . . .. . . . - . _ ."' _ :... . . . . , - _ .. . ,'..... ' - . .: -. . � � _.. :. ._. . , r� .: � ' ' .5�� • �'� '� • .• ', - c ' �.; _ . , . . ._ .. . , . . . ' . .. - ---.. __. . ... : _. . . __.._. . . , .. - ,. � . , .. . _.... _._ .._ _-----.. . . .. . ,� �• , • , ;�� , , ._. , ,, � t::�.��- . , ..� . , .- , � . . . . , ,� , , --.__._... --- ---..._;. _......_. ------- - ---.. . .. .. .__ . . , , - - - � ... . . •. , ,_: . . . _ _. . ... . - _.. _. . ._..... ... _ . . . . , .. ,. , , . :�,1 ---- ---- --�-,----_....,... ... ...------ ��--�-- --------- _ _ .. -- .. � . �..;� .�;. • .. �' �' • , � �� . . . � . .\ " _ -�l. ' , , _ . .. - - -.._. . . . .. . _ ... . . . . .... ._._.__. . . _ . _... _ . _ . . ._. . � ., . , . . -- • • , , . � ,. . . . � . . � ( r - -. , __.. _ . _ .... _ .. .._ _ �.. . _.; -_. __ � l . ._ _ - -.. . . \ . , ' 1: _ , - '-�--. ..__ ' . � .. .. .�� • `� �,. . .1 ' � - - �_. . � ----. ' I: � • �, . . �.._... . � � .__.. • • - ._ . , . . • , ' - . . . .. r. ' . . � . �- - .... . � � _ . .. . . .._.- .' . ' . � � .. � .. . . .. .. .. � � . ... . .. .. ._ . � .. _ � . . . . . _..._ .. _ _... . . . . _ .. ..._..- --- ..._ ... .. . . .�. �. . i _ • . . . . . , . i .. L...:._. __� ` _... _ . � ' _ _.. .. .. .... � . . ' � � .� � . '., � . ... ... .. _ . . . .. � . . ., . . 1 .. t � (� �, „`... ,,�,. , . . . i . . . . ._. . ._ .. ' . . . ,.__.. ' •. ........ ... _-..__. ,�� . . . .._. .. . . � . . . . ll. . .. �f . . ,...�_ . . . . . . ...... . .. . .. ._.__... . . . .._..�__ .. .. . ......." "" _ . ._"'_ _ ._ . . .. _____._______ ._ '. _ _ .. . . . .._' . . � �, , . . �. .. . I . . . . .__ ' '_ _ . . _ .. ""_'__' "' ' _"""'_. .. ...' _'_" " _' .. . _. i " ' ' ' . ' �- " . . . .."""_"'_"_. ....._..._..._....""' ' ' ' _ . .. „ ,. .. . "' . ..�. .......� � �� . ... . . . . , r :, �..�..r . ..`..�'. . � . . �l' \ . . '" . .. . .... ... . .. . . '' -_ ' ...__' "' ' "' � � . � . ^�� , . . ' � . � .� . l: .. I .. . ' ' ' . , . . , . , i . ' �".C: �. � ...+.'��.� ..� . ,, . � _. 6 � Y � . . � . .. . � ' ' . , i � ... '� � ., 1 . . .. . . � ..'. . l ' ' I . • . . . .. . . . . . . 1� _ . . ' . . .. . _ i . . ' . , .- i � . �1 ' ' i � -