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01 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING:AND SAFETY
FOR APPLICANTTO FILL IN, BUILDING 6024 Bartlett
(PRINT OR TYPE ONLY1 ADDRESS
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY Tele -rt
NEAREST
CROSS ST.
ABSORPTION UNIT,BTU
OWNER John Sell, .
AIR HANDLING UNIT,CFM MAIL
ADDRESS 2023 Bella' Vista
BOILER,BTU /� CITY - TEL N �+ _2772
l COMPRESSOR,BTU 36.000 10.00. CONTRACTOR J & J Ht & C
VENTILATION SYSTEM ADDRESS 2379 First S
EVAPORATIVE COOLER C" TEL NO. _
l FLOOR FURNACE: FAU ear Gf VfTxb}p10.00 g CENSE NO: 21695 CTATE IC.
LA45 G20
HEATER: SUSPENDED ,J �UJNNIVT_
WAI
APPROVALS IXSPeCT011'S SIGNATURE
ROUGH .S
FINALIrUbl Q
IN8PE 10 R C RD V
Plan check fee 25% of above.
PERMIT ISSUING FEE$ _
TOTAL FEE —4.00
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS CCJ 'p -7
CnY TEL NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE-THAT THE ABOVE LS CORRECT AND AGREE TO COMPLY WITH ALL Z n
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR 23 /r� 7.2 A
CONDmONING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM NOTG I VIOLATION OF #'o o 0 o 4 1
CHAPTER 9. DIVISION !, OF TI-If BUSINESS PR IONAL CODE
OF THE STA RNUI 2 0 - 27.00
6X7NATUR
OF PERMrrrrF10'0'021 O O 2 ,
L. 1'7Cl
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