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HomeMy WebLinkAbout1161A (9) i � ,��� CE-818(REV.11/78► �� APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES EUILDING AND SAFETY FOR APPLICANTTO FILL IN evi�oiN� IPRINT OR TYPE ONLY7 ADORE55 ]L� � T � �,~ LOCALITY ���/ � � NO. TYPE OF APPLIANGE OR EOUIPMENT FEE NEAREST ♦ / _ ' � CROSS ST. ��C./QGGV ABSORPTION UNIT,BTU � . OWNER AIR NANDLING UNIT,CFM MAIL ` � �� ADDRESS (�y , BOILER.8TU CITY , `/^'� TEL PiO. COMPRES50R,BTU � �4� CONTRACTOR � i� t VENTILATION SYSTEM ADORESS �� �l���J� . EVAPORATIVE COOLER CiTY�� � TEL.NO. . FURNACE: FAU G AVITY STATE LIC. FLOOR 8TU � LICENSE NO. �� LASS�� HEATER: SUSPENDED UNIT_ qppaovn�5 DniE �rv EGiaa'S .:N eE WALL ROUGH } t3. FINAL O V 'T N R ORO � O r V Plan check fee 25%of above, cti"�. � PERMIT ISSUING FFE� ? TOTAL FEE PLANGHECKAPPLIGANT PLAN GHECK VALIDATION � � NAME ADDRE55 CITY TEL.NO. ; � � � ' F' I HEREBY ACKNOWLEDGE THAT I HAVE REAU THIS AaPLICATION AND STATE THA7 7HE ABOVE IS CORRECT AN�AGREE OM Y WITH ALL j'• b • b y L, � ORDINANCES AND LAWS REGULA7ING HEAT.G, VENT ATING, AIR coNomoNir.c. PERMIT VALIDATION `� ° '` �7.C�'C I HEREBY CERTIFY THAT AM N07 Cil' VIOLATIO OF CNAPTER 9,DIVISION 3,OF HE BUSINE55 Y OFESSIONAL O s � • "' �' �•_ OF THE STATE OF CALI O A. �• ! i',.:::� SIGNA7URE OFPERMI7 U � ' I �.� � — �L OISTRICT NO PFOCESSED BY � �i �\. •\� . ! � .� . . • . . . , . . . _ ' .. — • � .� . . . . . c; . . _ . , _ � ... ._._�. _ .• � _ •�, . • . . -. �r�� . _ •. ..-. . • � • , . , - - - , . . . ._ . .... .. ...... . ... .. . , . � .. - - - � • ' - . . • ... . c• . ,_ - -- - - - - . ., � �. —-- - ,. ' . � �, , - _ . _ . - — — - - - ;. ._ _ . -- -- .�,; �. �`- � � _ �r ' _ .. • ..- .. _'��� , .. . . . .. . ._._ : , — - - - - ` . .. . . , � .. _.. ... _ . . . _ _. ' .. .. . .. , . ... . . . . ... ' . , •E . . • . , . '- • " i , �. \ �. • ' -' ' _--'- -.._ . . .... ..... . . . ...�, � . ' • _ , . _. . i • �� �' . � �..�.`. 'i`. . .- -.. _ . �.. . J . ..-_ . _`, E ' -- - - � ' -- - - - .. . _ _ _ , � . - � - .. . . --- . . , -" . -' -'''--' -, - .-_-- - . .., ��� . _ ' --- - --- �- - � - --- '-- -�- _._ � , .. . ., .. • � `�, ... _ , . ... . . . . , . � . . . . .. ... , . .. ___.. .-- - � ---- � -- - �- - �� � , .V _ "_ - - . , . . . . i � � • � _. . .. .. _ ' ' • • -.. . . . . . _. . _ . .. .. .... ... . . . _ . . .." .'.'..^ _ i , . • _ . ..' _ ' ' "' _ ." _ _'_ '_ .... _. __ .._ . ., . . .. . . . .. l,, . . t ' � . � _ _ .... .. _.. .. .. . . . . .` ` . � . J � ; , . . � � .. . _ ..�.._ .. . _..� . _. . .__. �._._ . _ .._.. . , i• ... � . .. .�� •. , . . ._ _ __.__. __ _._ �.. ._. , . _ .. _. , . r . � • � . . . �: � ' . ' . ' . . . , � , . .. -`�. . ., . I • .. . ' . . � ., - . '_ -- . �