HomeMy Public PortalAbout5034 & 5036 FARAGO AVE_Mechanical__ - 4 �
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76A364C J
CE 878(REV 6/78) +
osa APPLICATION FOR PERMIT ` t
HEATING - VENTILATING - AIR CONDITIONING
,COUNTY"OF LOS ANGELES ' 4 BUILDING AND SAFETY A/
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
(PRINT OR TYPE ONLY)
Cry
LOCALITY
NO TYPE OF APPLIANCE OR`EOUIPM ENT i FEE
NEARES
CROSS S
ABSORP+TION UNIT BTU S '"
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AIR HANDLING UNIT'CFM MAIL �7y��3
ADDRESS / 0f� '
BOILER BTU TEL NO
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' . COMPRESSOR BTU sJ CONTRACTOR
VENTILATION SYSTEM, ADDRESS!!t-0
EVAPORATIVE COOLER + - TEL
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r FURNACE FAU `GRAVITY
STATE � LIC
FLOOR BTU LICENSE NO CLASS
HEATER SUSPENDED UNIT_ APPROVALS DATE INSPECTOR S SIGNATURE
WALL
ROUGH
FINAL ,12
I
INSIPTT N RE R IN
C
A
Plan check fee 25% of above m
PERMIT'ISSUING FEE$
r TOTAL FEE
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME x ,_ 4 + n
2 ..�l..�t/11 4L -�..
ADDRES 2.i r
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CITY TEL
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HEREBY NOWLEDGE THA HAVE READ THIS APPLICATION A +
STATE THAT THE ABOVE IS CORR T AND AGREE TO COMPLY WITH ALL 2 4 0 a 5 A
ORDINANCES AND LAWS REGULATING HEATING VENTILATING AIR
,,CONDITIONING , - I PERMIT VALIDATION # o 0,0 o 4 1
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
CHAPTER 9 DIVISION OF THE BUSINESS AND PR E DE L `
OF THE STATE OF CA F NIA + L O - 2700
SIGNATURE
OFPERMI + °O OHO 2 7 0 0 V
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DISTRICT NO PROCES D BY
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