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HomeMy WebLinkAbout0958A � � 76A364C.... . . . . .. ..... .. . ... . . : �. . . . ...,. . . .. . . . . . . . . . CE�-518�(REV.11/78) � . . .. .... _ . .. . ... ..... . . .. c�� kPPCICICTION POR PERMIT HEATING -,VEI�TILATINIG - d1R4COND1fi101�(`N�G � , . _ ,_, ._ . _ ,;,_ _. COUNTY Qf L0S ANC"s�LE5 � ' ' ""BUIL'DING AND SAFETY FORAPPLICAIVTTO'FILLIN� -��� "-""� �Bui�oiN p� � � �- - � (PRINTORTYPEdNLY) �<.DDRES��l��]��SI.OYS�S' R�.� P. �t• LOCALITY' . - � ND. 7YPE OF APPLIANCE OR EQU'IPMENT �. ,� FEE __ , _ NEAREST - � � GRO55 5T. ABSORPTI�N UNIT,BTU � �g 1s p�� OWNER 1�4 J BL�OCki�. OG SOYSS . AIR HANDLING UNIT,CFM � ���� �� :;Nq7� -` . �"�� ' �' - � � '� �- � �ADDRE55 � � � � BOILER,BTU CITY � TEL.NO. � � GOMPRESSOR.BTU CONTRACTOR�� . � � VENTILATIONSYSTEM�- � .1�,�.J�,q �y f��ja�elm B�v�e ADDRE55 � � .. EVAPORATIVE GOOLER � � q f' . . ' CITY . . ��S•LL�PQ.�CfI�Pf TEL .�2�1},l„'I,'i J, FIOORCE: FAU BTU GRAVITM� �4'O OQ L GAENSE NO. '"S"�""' , ..G AS O� Q O 1 HEATER: SUSPENDED_UNIT ��_ - ' � - U WALL AP�AOVALS '-ATE � INS,;C OR'S SIGM1ATIIPE � � � , �ROVGH �- ,'� c � F- . FINAL - . . � ... INSP OT1�R � ORD � � Plan check fee 25%of above. PERMITISSUING FEE� T�TAL fEE 17 Op PLANCHECKAPPLICANT .. � , PL/\N CHECK VALIDATION �� �� � NAME AD�RE55 CITY TEL.NO -- . :..?'�,G��F�'�n�.. .. . . . IHEREBYACKNOWLE�GETHA77�FIAVEKEADtH150.I�hLICA'410i�ARYD`"' �,�'-o :'.o��.� STATE THAT iHE hBOVE�iS GORRECT`APTi'AGhEE"'fG C�SM�Er9��Y71�'a AlY"`�- � OR�INANCES AN� 'LAWS REGUCATING HEA7IM1G.�"VE�1fiIL`A`YI�;AIFF�" . .� m'.'e� '7,/l.F� ; GONDITIONING. �- . ' ��u � '- � � PERMITVALIDqTC�N�� � �� I HEREBY CERTIFY THAT I AM YOT ACTING 1N VIOLAYIO�N�OF���� s f 7.�,:�',L 4 CHAPTEF 9,�IVI51 3:OF THE�BOSINESS�AND��PROFE55fOr7�GODE�� �� � OF THE STATE�OF A IFORNI0. p p SiGNATURE . _ .. . . .. (�'.f.:....� 4:�'-.1.:��. ��. - FPERMITTE- - � DISTFiCiNO. . ... .. . .. . PROC- EO�BV . .. . . . . � � I . � � „, . . . . : ; ; , ..__ , ., � _ -<:.:�� _ : ; ,. ` ' . .. ._ � , . ,,u , � � . , �.,; , � _ . , , �,_ - �:� , -_ _ - r _ , - ... �. ; .__.. _ ._ _.__ _:” _ _,_ � „, .,-.: __, ., _ � _ . . , - ., , . . ,, � , _� . � �-�r'�_ :'� �. P � � ,r, . � ,. . .... _.. . ... . .... . , :� , , . . ' . . � :, .... .. .:.�. .. .:._ .. . . . ._.. . .. . .. ... . . .. . . _ . �, � � .. . . ..._ . ._.. . . .. ... . . _. ._ ,