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Home My Public Portal About5447 GOLDEN WEST AVE_Mechanical__ 76A�64C �. CE-818 (REV.11/78) ©5 APPLI ION FOR PER HEATING - VEN EATING - AIR C NDITIONING COUNTY OF LOS ANGELES BUILDING AND SAFETY TAIR OR APPLICANT TO FILL IN BUILDING (PRINT OR TYPE ONLY) ADDRESS AI(T LOCALITY /or-, NF APPLIANCE OR EQUIPMENT FEE NEAREST CROSS ST. PTION UNIT,BTU /j,��Z nq OWNER .L=LG /V J W NDLING UNIT,CFM MAIL /� � r' /� ADDRESS S 4 �Z Z BOILER,BTU /d� CITY �/y /- TEL.NO COMPRESSOR,BTU CONTRACTOR a C./ VENTILATION SYSTEM. ADDRESS EVAPORATIVE COOLER CITY TEL.NO. FURNACE: FAU GRAVITY STATE LIC. FLOOR-BTU LICENSE NO. CLASS HEATER: SUSPENDED UNIT_ APPROVALS DATE I PECTOR'S SIGNATURE WALL ROUGH FINAL INS ECTION RECORD a P.- U Plan check fee 25% of above. PERMIT ISSUING FEE$ TOTAL FE PLAN CHECK APPLICANT PLAN CHECK VALIDATION NAME ADDRESS - CITY TEL.NO. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND 8 9 4,5 A STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING. VENTILATING. AIR /549 CONDITIONING. PERMIT VALIDATION # 0 O.0 04 1 1HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTER 9. DIVISION 3, OF THE �7 BUSINESS/ND PROFESSIONAL CODE 2 0 0 2 /,0.0 OF THE STATE 0 CA F RNI SIGNATURE r O O O 217 0 0 H OF PER.... ' DISTRICT NO. PRO ED/BY 0 2 0 8-80 � ��