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1829A (11)
i � � - � � 76A36dC CE•818(REV.6/781 c:f APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING � CQUNTY OF LOS ANGELES BUILDING AND S FETY � FOR APPLICANTTO FILL IN BUILDING �1 ADDRE55 Q�D 'J.�L .• L�'.�'17 (PRINT OR TYPE ONLY) " LOCALITY � NO. TYPE OF APPLIANGE OR EOUIPMENT FEE ' NEAREST CRO55 5T. AF350RPTION UNIT,BTU � OWNER AIR HANDLING UNI ,GFM ADDRESS �/�►""'�?�C� BOILER.BT � � p� CITY ��.��TEL NO. COMPRESSOR.BTU CONTRACTOR ��j VENTILATIONSYSTEM. ' ADDRESLS �.j7j��� EVAPORATIVE COOLER CITY TEL.NO. ��2�L FURNAGE: FAU GRAVITY � STATE LIG. FLOOR BTU LICENSE NO. CLASS MEATER: SUSPENDED UNIT_ pvPRova�s DATE INSPEC70R'S5IGNATURE WALI • ROUGH �, FINAL �O [ , i C:�✓S'�`� � d INSPECTION RECORD V � ap� W Plan check fee 25%of above. a N PERMtT ISSUING FEE; O �- TOTAL FEE ��f p(� P�aNCHecrcnPaucnrvT PLAN CHECK VALIDATION , NAME ADDRE55 :' 1 �29F, CITY TEL.NO. . ,1 1 HEREBY ACKNOWLEDGE THAT I MAVE R THIS APPLICATION AND �'� � � � 4 1 STATE THAT THE ABOVE IS CORRECT AND GRE TO COMPLY WITH ALL �7 ORDINANCES AND LAW EG TING EATI G, VENTILATING. AIR I • • C I�O O coN�irioNiNc. ' PERMIT VALIDATION �7 I HEREBY CE ,IFY T I AM11 N A ING IN VIOLATION OF • • • � I.G O c� CHAPTER 9, DIVI , OF THE BUSIN 5 D PROFES IONAL CODE OF THE SiATE OF ��Fo � 0 � 1 5—7 9 SIGNATURE t � �', OF PERMITT DISTRICT N0. VROCESSE Y l d � � � -t_!z � I � .' . ,` � , . � . . . � � ' . . r • . _ , , . -\�- . . . . . , ' . . . .� . ' '.. 1 ��{`�•/ ' ' . _ . . ' 1 � , . . . _. . . . _. . `�\. . " ..... ' - . . ' . _: - _:_. ' � . . . . . . . .. ��.�'• -_ . . . . ' .' - .�. .. � . � . . ... i , , . . '` . ' ' . i ' , . • .. . . ' .i . . `�^ . - . . " - - - - . . ._ . . . �' �'�, '-- -. . . , � , .. , . . . ' ' �' � -- -"' - � - -� ' - - - - . _ . . .. \.\ -; - ' . .._ .. . . . . _ . . . . .._ . ... - - --� '. � . �I�.. ' .... � . � � . , . - . : r . 1. o � . a ' � . . . ,. . . .. .. . . ;.. . ; . . . '��� ` ., ' ' � . '; � � , � . -. . �. ,, ... ` _ . . . 'i �1' . V ,� . . � ` ' � . . ' .\ '- , � .. 1 � \ ' �