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HomeMy Public PortalAbout4533 ELLIS LN_Mechanical__ 7rmA3 64C CE-&..18(REV.8/78) ©� APPLICATION ffOR PERMIT HEATING VENtILATING -' AIR CONDITIONING 'COUNTY OF.LOS ANGELES. BUIWINGATAAFETY FOR APPLICANT TO FILL IN' ADDRESS UILDING (PRINT OR TYPE ONLY) LOCALITY NO. TYPE OF APPLIANCE OR ECQUIPM ENT FEE NEAREST''. ✓ CROSS ST.. ABSORPTION UNIT,BTU OWNER �. , AIR HANDLING UNIT,CFM' MAIL ' ADDRESS ' BOILER,.BTU CITY TEL.NO. COMPRESSOR BTU CONTRACTOR VENTILATION.SYSTEM _ �r� �{ ADDRESS fd K.,�e.5� EVAPORATIVE COOLER CITY "% TE L..INC;, 'F -FURNACE: FAU GRAVITY STATE. - LIC.- FLOOR BTU _ LICENSE NO.,:, CLASS. HEATER: SUSPENDED UNIT_ APPROVALS DATE .INSPECTOR'S SIGNATURE ' WALL ROUGH C✓I .—". FINAL .._ �/�.♦ qINSPECTION RECORD p agag Plan check fee 25'/c; above: y �to Z111 PERMIT ISSUING FEE$ TOTAL FEE PLAN CHECK APPLICANT - - PLAN CHECK•VALIDATION NAME' Le .ADDRESS - `7f / 377 CITY TEL.NO: I HEREBY ACKNOWLEDGE�THAT I HAVE READ THIS•APPLICATION AND - STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL' 1 6 4'8.A ORDINANCES AND LAWS REGULATING HEATING, VENTILATING,'AIR - CONDITIONING. - • - PERMIT VALIDATION #:0 0 o a,4 1 I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION.�OF CHAPTER 9, DIVISION 3, OFTHE BUST ESS AND PROFESSIoONAL OODE. 2•o o 8 7'0 O OF THE STATE OF C0 IA. SIGNATURE OF PE RMITTE� J !L -' J' o'o o 8 O O V E�� '- � - /'. DISTRICT NO.j PROCESSED BY 12,0 5-7 8