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CE - 818 (REV. 11 / 78)
z APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING not # 55
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
PRINT OR TYPE ONLY)
ADDRESS 212 )10 1% .aliYlwood Dr.
LOCALITY Tow. Fits .
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST.
ABSORPTION UNIT, BTU
OWNER i st. .Los Angeles Corp
AIR HANDLING UNIT, CFM MAIL 630 s,.. Grand.
ADDRESS
BOILER, BTU
CITY, + TEL. NO. 625r
COMPRESSOR, BTU
CONTRACTOR C)urfL'nit. Sht .
2 VENTILATION SYSTEM 00
ADDRESS 2-1.8il esz'i re
EVAPORATIVE COOLER. -
CITY HeTw. G,N TEL. NO. 527
FURNACE: FAU GRAVITY
01
PLAN CHECK APPLICANT
PLAN CHECK VALIDATION
STATE r, ^ LIC. 1( C-43)
NAME
FLOOR BTU LICENSE NO. 119J CLASS
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
HEATER. SUSPENDED -UNIT^
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR
WALL APPROVALS DATE . INs ECTOa'S IG TU RE
CERTIFY THAT I AM N07 ACTING IN VIOLATION OFIHEEREBYERCHAT9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE"
ROUGH
OF THE STATE OF CALIFORNIA.
0.
O
SIGNATURE S c;:: i„' ' "S"0
OFPERMITTEE
FINAL
DISTRICT NO. PRO CESjSED 8V
u
ag
O
IN CT ON RECO
Plan fee 25% check of above.
T0,0—:7 zPERMITISSUINGFEE $
TOTAL FEE 15
PLAN CHECK APPLICANT
PLAN CHECK VALIDATION
NAME
ADDRESS
CITY TEL. NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR
CONDITIONING.
PERMIT VALIDATIONCERTIFYTHATIAMN07ACTINGINVIOLATIONOFIHEEREBYERCHAT9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE"
OF THE STATE OF CALIFORNIA.
SIGNATURE S c;:: i„' ' "S"0
OFPERMITTEE
DISTRICT NO. PRO CESjSED 8V
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