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Home My Public Portal About9063 ACASO DR_Mechanical_8/5/1974 7fi A�64- E 616-•�3 , APPLI ION FOR 4MIT HEATING - VENTILATING - AIR CONDITIONING • r COUNTY OF LOS ANGELES FNEAREST ESS B S DEPARTMENT OF COUNTY ENGINEER - BUILDING AND SAFETY DIVISION LITY °+ ST FOR APPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) MAIL -� A No TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 0(o3 ACA S C� CITY C TEL NO �•� ABSORPTION UNIT, BTU CONTRACTOR AIR HANDLING UNIT,-CFM ADDRESS BOILER, BTU CITY - TEL NO COMPRESSOR, BTU STATE LIC LICENSE NO CLASS VENTILATION SYSTEM DISTRICT NO GROUPZONE67)nESSEDEVAPORATIVE.COOLER . T � FURNACE FAU_GRAVITY FLOOR BTU 9 c pD SPECTION RECORD HEATER SUSRENDED UNIT_ WALL a O U • CL • O H J fn Plan check fee 25% of above See reverse As.e«'i° F' Lf ma'o As. PERMIT ISSUING FEE 8 3 00 TOTAL. FEE PLAN CHECK APPLICANT NAME ADDRESS ' CITY TEL NO I HEREBY 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, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE LATING, AIR CONDITIONING ROUGH 1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL CODE OF THES TATE OF C LIFO NIA SIGNATURE ERMIT VALIDATION ,CK M o ` CASH OF PERMITTEE PLAN CHECK VALIDATION CK M O CASH V� N 3.6 61iU6 ,543. © 8.0 0 ♦:Id r .jEE BACK OF APPLICATION"FOR COMPLETE FEE SCHEDULE �'