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CE BIR(REV 11/78) "
mT APPLICATIFNG
R PERMIT
HEATING - VENTILAT AIR CONDITI NING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS
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NO TYPE OF APPLIANCE OR EQUIPMENT FEE - - -
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ABSORPTION UNIT BTU
OWNER
AIR HANDLING UNIT CFM MAIL (f
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BOILER BTU /y) CRY Teel LEC��/L TEL NO /yam
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VENTILATION SYSTEM
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EVAPORATIVE COOLER CITY 00 Ip 4 TEL NO -,,7Q
FURNACE ' FA GRAVITY /� L
FLOOR BT �/ L CENSE NO a L •� CLg55 V
HEATER SUSPENDED-UNIT- APPROVALS DATE INSPECiORSSCNA RE
WALL
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FINAL O
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INSPECTION RECORD &
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Plan check fee 25% of above i
N
PERMIT ISSUING FEE; 2
TOTAL F
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
[NAM, EDP823SA
Y TEL NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANDTETHAT THE ABOVE S CORRECT AND AGREE TO COMPLY WGH ALL2 • • 27,O0
DINANCES AND LAWS REGULATING HEATING VENTILATING AIR �DFIIONING PERMIT VALIDATION . . . 27 006
I HEREBY CERTIFY THAT I AY NOT ACTING IN VIOLATION OF
CHAPTER 9 OF THE STATE OF CION 3 OF
E BUS`LESS AND PROFESSIONAL CODE 12 1 3—7 9
SIGNATURE
OF PERMITTEE
DISTRICT NO PRDCES OB
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