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Home My WebLink About0957A i _ _ � 76A364C ' .. . .. . .� CE-�818�(REV.11/78) . . .. ..._.... . . . . .. . . ... . . . . .. . . . . . .. .. . . os APPLrCATION FUR PER.MIT HEA7ING - �IENTILATING.- AIR CONDfTIONfNG COUNTY OF LOS ANGECES BUILDING 1CND SAFETY - FQR APPLICANTTQ�FILL IIV� � ��-� �gui��iN�� - � � � � � - IPRINTORTYPEONLY) AD�RE p�� o ar Rid e S�,t � � ' LOCALITY NO. TYPEOFAPPLIANCEOREc]UIPMENT FEE �Ro55sT.Tr. 31(�53 Lot 15 ABSORPTION UNIT,BTU - � owHER M J Broak 8c Sons AIR HANDLING UfJ1T,CFM - � MAIL � -� �� AO�RESS � � BOILER,BTU GITV � TEL.NO. � COMPRESSOR,BTV� CONTRACTOR� KaX1Y�e� A��i VENTILATION SYSTEM ADDRE55 j,�y�i, �� RRa.IIE�.III. BJ.Vd.,s;, EVAPORATIVE COOLER - CITV .tl),SalAP.Z� TEL.NO.! (�G�+�-T � FL60RCE: FAU BTUGRAVITl' 2a �o SGENSENO. .�JU6C)(J „ � CLA55 O �°' �--�.�.-U1LL- � FIEATER: SUSPEfJOED�UNIT�� qppqOVALS DAT-. IVSPELTA' SIGNATURE � ' WALI � ROVGH � k' . . . FINA� . � � . W IN5PEC ION'RECORD-- � �� -�� t�i> . . . . .. . . . � Plan check fee 25%of above. PERMIT ISSUING FEE S TOTAL FEE 2 00 PLAN GHECKAPP�ICANT ,� . �. � � pLAN CHECK VALIDAtION �� NAME . ... . . .. . . . . . .. . A�DftE55 _ , _ � � CITY � TEL.�NO. � -� I HEREBY AGKNOWlEOGE THliT 1-HAVE REA�THIS�APPCICATION"AND STATE THAT THE ABOVE'IS CORRECT-�ND AGREE TO�COMPLY WI7H ACL � ORDINANCES AND� LAPlS REGUCATING NEATING, VENTILATING,'AIR co:vuinowNc. PERMIT VALIDATION "'``'g��A I HEREBY CERTIFY'-THAT I AM NOT ACTING IN-VIOLATIDN OF �'�.& a�:o,jy,< � � CHAPTER 9,DIVI510. F THE BUSINESS�A4p PROFE5510YAL tOD •� � ��..� � OF THE STATE OF C IF A�IA. � SIGNATURE - . �...�M..@�.�I�..�... OFPERMITTEE � �-/ �� .. 0 STRICT NO.� - �' PPOC�SSEO B � � - .� � 8'� t �-E��t:'t� � . � UEt;1 �^�C I ��. i .. . . . ,,.,. ....t � . . . � , .-,�. ,. , ., ^�� f �,.- r :. �:, � � , .. .,., _ ,. ,:.;, .. -�� _• _ : . . . .. •.- . �_.... ,,..f>�..a,-... ,. �c .�.� _ . ...�,_ ...a�.� �s-. .i� .,, . . - . . . . . - �., . ..,�. ..j � � � . . . . _ . . . ... . : . .., � .: . _._._._ ____._.. ... ... � � .. �. � _ � - , . _. ' .,.; _:r... - - ._ „ ,.... . , _ ._. . � . ...�_ _. _.. -.: . . . ..C i . �.. . _. .. .. ... ... � . � � ;�f f';.., �.. . .....,.__..,...... . ..::.:':._ .�...._�. .... .. . .-:..�, � . . 1',:,. n ... . . .. � ,��, :�.,..C?�tF,�_,�, � i..!.:P .. ��,_�r.,,�,. . , � :i�. P r ��:.,...... ._. . . . . . . .... .. ._... .. ._ .:. .��' . . ' J -� . . . .... �.. _ ,��: �. _ � _ , ,-� � � __._ _ .r�-. � ; . - _ . <{�,:.;