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i „ ! I . • . ,. , • . . ' . � 76A364C � �'� CE•8101REV.6/78) � � ' o� APPLICATION FOR PERMIT HEATING - VENTILATING'�- AIR CONDITIONING ' COUNTY OF LOS ANGELES • � BUILDING AND SAFETY FOR APPLICANTTO FILL IN BUILDING � ADDRE55 Q � (PRINT OR TYPE ONLY) � LOCAUTY � NO. TYPE OF�APPLIANCE OR EOUIPMENT FEE • NEAREST CROSS ST. ABSORPTION UNIT,BTU - OWNER • /L � L AIR HANDLING UNIT,CFM MAIL ����J �r�-�� ADDRE55 / BOILER,BTU T" �� �" ' " �O� CITY � � TEL.NOS��. ' COMPRESSOR,BTU CONTRACTOR� / S, VENTILATION SYSTEM ADDRESS L C � � EVAPORATIVECOOLER � - - CITY l �TEL.NO. /// FURNACE: FAU GRAVITY STATE LIC. FLOOR BTU - LICENSE NO. ,� CLASS C HEATER: SUSPENDED UNIT_ AavROvn�s DniE INSPECTOR'SSIGNATURE WALL .� �` ' , ROUGH . � .JY.!,'j�l�.�'`f�i.;i. . �" . FINAL �+ �' 0 ' INSPECTION RECORD V � O Plan check fee 25%of above. � � PERMIT ISSUING FEE; �) • � TOTAI FEE � ' PLANCHECKAPPUCANT � PLAN CHECK VALIDATION NAME ' ADDRE55 CITY TEL.NO. I MEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND � . STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR � I�, O R coNniriaNiNc. PERMIT VALIDATION � � � I HEREBY CERTIFY THAT I AM NOT ACTI IN VIOLATION OF � 1 � CHAPTER 9, DIVISION , OF THE BUSINE A P FESSIONAL CODE #r��'o •'o (j� OF THE STATE OF CA RNIA. . . ' � � S�GNATURE - � � � � � I�• � �Z O O � � OFPERMITTEE ' - � ' DISTNICTNO. PROCESSED BY , ��� e G Z O O U lD ' �-�� o� 1 2—7 9 �____--- I ! I i - , ; � � . _ � . -_, �,� . : . . ��. . . .. , , . :. .�!"'°i.�a�. lf . ' . . �.. - ... .�i �t. .., — .. ., ��. ., . ,.... . .?�•.�•o i,'b', .."'.t'. � .. ,. . . .... . _ . . ,�a``'. • . �,� .,`i, \ '\ � �� �`'r t,, � ( •� �. J , � � !_.1,�5 .. . '? ,. %c � , . .. .. . . , -—---- � '- t .i`.-" -' - . . . _. , , . �. [� IIJ. ' _ _. _. .. .. . .. _"__ . _ '.._.__ ' . ._ . __ __ .. ., t .. '.._—_.""✓°..l'.(._1 '_.._�..`..`...�1..�t��.�� ' _ ° i . I . - ,., .," : ' , - .. I --., � �_.._....._."" _..'� "•'._" ' __'�..".�_ ._'"'""'_' � {•_ " __ .. . .. .. . ... � _ _,'.1��.\'1 ��:��w.�: �':)��.',.��_�):�` .`�',�.__ _ __ �'__. ' . .._._ . . . ' __. _. _ . .. . , __' i. .�J 'I � , " ' __ ' ' ' "".' __. y_'•. _._ � -�:�.� 'S�1\�, .� '\.CF �'i•,�J\_ _ j'__ .,._ "._ . _.... . ' . - I , , �_. _� `_— '- • �. �. . -- - � , �, .:;�� -t.., ` :' __-. .��.:��� �.���.. ����,����i --\-f` -- - - rr =' . _ ._ . _. _. ___ _ ... , i : � � , -. :. • . ..,. � _. .-_ � ._ ._..� .__...__.1. . _.� _ . . . _i�.._ � . ' ^.I.. ,. I �� � r. . \ ti"-. . ,._ '. _._ ._— ' �-: - _.--- - -�-- . .. . �_ . ._._ _ .. � —__ -- "' ._ .r)f`� ��.\t..�, 1; � - --- i i � � , ,, "_.... .� ;t :•`�\.'. ;� _l� ( '� -----i--._ .---- - --- _ _ .. - --� -- �• ' �� � . , . . .. ! `-- .' � •� " � � - . _ .. ... .--- . " ' i C \� \� .: � .� .�,\� `���� ' ' --;--- --- � ---- --- � - - - : , , , _ _ � -- _ _ , �. , . � , - . . ._ . ,. , _-- - _ • . _ ;� � . `z � c.`". :,�� �, , ' -- - - _- - �_ - -� . __ . . , . , , . , . . _ __,. ._ - --- fi ' - . ,.... . _ , • • . � . . , , � , _ � ,. _ _ . ,. - , , , � _ _ .. . -- - ... ---- - - — ---- � --. _ _. _ , -- -- � - - - -..._. ---- . ; - - . �., - - , ; �_-�- - - . _ � ; _ __. '' , i ,. ' ��•,t-�°y.�..11�-�.�,1`���'"11���C.1`�� _. _ _- -----• -. ...-i--- - -----• . -- - - -�.. --- , I' � C7. . �<, � ., t.. , i. ... � ' ._. . ____. �_ . .�,. .. - - -� --- ---_ .... _._.- ---- - - -- � ----- � , I ' , . V � - � -- ---- _ . .- - -- _. . _._ . -- . . _.__ i.._. __1_— _. __ _- --_ _=-_ . . i ' ' ' . . . � . . ' �,� . � . . ,.- ! r i 1 . ' . ' ' . ' .. .... . _. . .... _ .'_ . ."' '.""___ . ... ' �_"'__._ ....' _'_"" '_" ','_"_". __ �_ _ `'. ._ _.____ . .._ .. . . ._._.__ ....""'"'.'__"_ __.'—.__."'"" '_'..I.•_. � . . ! � �� i ."_'._.'__�._ __.- ' .—__ ______ _—' ._._"'_._ '_..___. . , . . � . . ' - ' -. . . . . i . , .. � 1 . " '_' ""'_""'._..._" "'.. ..___.�._`._,_ ... ...._'_"'"_' _"_ i ' '_' _..:_" '__ "_.""_""_'_"_" ' _"_' __ __—'_ ' .. � . . , ' • ,. ._ " '''1'''',f,i , .� �,...- . .. '' ' ' .r . ` _. . , • � �\... .! _.i_'. , . `.'..'.... ( , .. . __ `_'`" ' _' . ' ' "___._—�.._..�.._ ._.. _ "_'"".' '____"___ .. ._ ._._...__ . .... _ . .... { J � i 4 . . .. . � . . , �� �� :1� . � , . . . _. �., a �. _. „ _ , . . � � . . ., �., ...,� . ,1_!r,, t' .:;: . i�_ �: . „ , , . � j . � - � - , i. . . . � � . , ' , � ` - -— - -- ---' � �, �,� - �.• ,1; , ' . ; �_ . . . • • . , � - . � .. . ., . � ' �_----- . ._ ._- .--- �-._..__ '. _ -� - - _ _ - ---�