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HomeMy WebLinkAbout1163A (15) i � � 76A364C CE-818(REV.11/78) �� APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY Of LOS ANGElES BUIIDING AND SAFETY FOR APPLICANTTO FILL IN BUILDING �/a`'� . � 3 .� ! ' IPRINTORTYPEONLYI ADDRESS LOCALITY NO. TYPE OF APPLIANCE OR EOUIPMENT FEE ��� ~''� ' NEAREST . �s � CRO55 ST. tec.c� � �� ' AEtSORPTION UNIT,BTU � OWNER AIR HANDLING UNIT,CFM MAIL .� ADDRESS � .�{ it�C� BOILER.BTU CITY � TEL.NO. / ` COMPR�SSOR,B I �� O CONTRACTOR ���� VENTILATION SYSTEM � r.� I .. ADDRESS ' EVAPORATIVE COOLER ' CITY � �� TEL.NO. . FURNACE: FAU GRA Y STATE �. IC. • FLOOR �TU �7�r— LICENSE NO. LA ' .� HEATER: SUSPENDED UNIT_ appnOvn�S Da iN5 CTOR' IGNATURE � WALL ROUGH } t!. FINAL / Q u I PE T N R ORD a 0 'v Pian check fee 25%of above. � N PERMIT ISSUING FEE; QQ 2 TOTAL FEE �Yff� PLANCHEGKAPPLICANT PLAN CHECK VALIDATION . NAME ADDRESS CITY TEL.NO. I1 I I HEREBY ACNNOWLEDGE THAT I HAVE READ THIS APPLICATION AND � 1 1 f'y r` STATE THAT THE ABOVE IS CORRECT AND AGREE TO PLY WITH ALL {i � .��, • � 1 ORDINANCES AND LAWS REGULATING HEAT . VEN LATING. AIR � CONDITIONING. � PERM IT VALIDATION ��� � , ��,�C 1 HEREBY CERTIFY THAT AM NO ACTING VIOL TION OF CHAPTER 9, OIVISION � OF E BUSINES ND OFESSION CO 5 OF THE STATE OF CAL R . �'� 'a 1 7,��Lzj SIGNATUR �`�� OFPERMITTEE � � '� /11 �'7O l: DISTRICiNO. PROCESSED BY � � � . I � � I • � � , . :��. .. . . : . . . .. .�'• : . � ; ,-.� ti .� . . � „ . , . . - ._ \ ; . • . -• . • •.. .--- �, , � _ . � , .. • ,_ . _ '.: _. . \��' .. : .. . ._.. . ti • . � ,� _, _. . . . �-�---._.._..._._- � - ------- --� ;-- •, -- .. _.. -- . , ���.. - - � .. � - � .. ' --- .:\• •!`' . .. • .�� . . ._� . �:,.. _ , . . . - -_ . . . ... ._ _ .. . . .- . ,. ,.�.. . _S:.'„` - .-- . � . .. _ . "_' ". . '� • .� ' ." - "__"_'J' � " _.-_ , '�-' ' . ;� 'I\ ' \ � ' ," " _ • " � ' � .♦ ` l•\ �� ' I t� ' " ' "_ " _ ... . ' " ._ . . . . . . . " - - - - � t.� _ .... .. � ' .\ •.� , ' . ,. , - ..- � .. `..ti ,_ .� ` 1_. ` . .. . . . .... . . . . . .' . . ' --- - - �-- -- --� - ' - � - - � � i �._' `� '1 . :�• C'�� , . ., '�: -)\ �..,- �- . ' V . � . ♦ . .. i .___ __ _ _ _ . . . .i, . .. . . , . ' "_ ._. . . ' ._ . _ . .__._.. _ _ .. . . '-.._.. . . .. . . . .. �. , � • ,�� . _ � ' . , '_' ' " � \ ��`� �.. '`.,\` . �\'.� _ _ _ . .. . .. _ . . ' ' ' . . i. _ � `� , . � � __ . . . __'____ _' _ _ ___ . _ _ • _ .___ � ' '_ _ . .. ' _ '__ _ '__ _._ ._ . ..._. . "... `� , ... . ' ' ""' " ,. . . � .. .. . . ' ' "' "' "' ' ' _ . _ '. ___ .. . . _.. . __ . . .'_ ' __' ". • ,:,..A`".�.. ` . l �- � " ' " _ " " ' "" """' __ ' ' ' " ' ' ' � . . ... ,. . . ! .�. � .� �!�. � . . I� _ ... ._ _ .. . . ..."_" . . . . � . ' . ..J .. .�� . . ' " ' . . � `�, � . , 1 , .` . � ' . ._` ... � . r.! ,', -- . / , . . . . - '. ``` . , ; . . ` . . ,