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;APPLICA.TIONI FOR PERMIT
HEATING- --.VENTILATING:-, AIR CONDITIONING
COUNTY OFILOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLYI" AD D RE S S62�. G.UCI E,i//7 C ,
LOCALITY/ 65-
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST 16,v5;
Q
CR05S ST. [�
ABSORPTION UNIT.BTU
. OWNER O327 �s
AIR HANDLING UNIT.CFM'- MAIL
ADDRESS 3 G—.cr AIJ `5
BOILER.BTU - CITY TEL.NS 9f g✓ ;16
COMPRESSOR. BTU CONTRACT ///F���V�� L.J r
VENTILATION SYSTEM
ADDRESS
EVAPORATIVE COOLER CITY TEL.NO.
FURNACE: FAU_GRAVITV STATE LIC.
FLOOR BTU LICENSE NO. CLASS
HEATER: SUSPENDED—UNIT— APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
_
/IArs A o ROUGH 12 20
FINAL � _ Q
&V !/OO INSPECTION RECORD V
5=30-7oj
Plan check fee 25% of above.
PERMIT ISSUING FEE$ 7 — � , ' V 2
TOTAL FEET C-t)
PLAN CHECK APPLICANT PLAN CHECK VALIDATION '
NAM /'gC.G•J'
ADORES
CIT *EL.NOKK ,X – - W
1 HEREBY _KNOWLEDGE THAT-I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL 2515 2'4 A
ORDINANCES AND LAWS REGULATING HEATING. VENTILATING, AIR
DA-T4ON " �/
I HEREBJ-RTIFY
THAT I AM NOT ACTING IN VIOLATION OF
CHAPTER 9. 03. OF THEBUSINESS AND PROFESSIONAL CODE
OFTHESTATEFORNIA.SIGNATURE � eZOO
OFPERMITTVVV!lI��VVV�•����190
O o 427,005
DI4RICTNO. V PROC ED BY
v� pc� 07, 117-79