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HomeMy Public PortalAbout5465 GOLDEN WEST AVE_Mechanical__ J v • O. '6A364C CE-8181REV.6/78) ©s APPLICATION FOR PERMIT HEATING — VENTILATING — AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING AND SAFETY , FOR APPLICANT TO FILL IN [BUILDING (PRINT OR.TYPE ONLY) RESSNO. TYPE OF APPLIANCE OR EQUIPMENT FEEALITY ,�1.�/p�REST ' / / "iSS ST. Lf (r ' ABSORPTION UNIT,BTU /J^ gam- Lys OWNER • AIR HANDLING UNIT,CFM MAIL •.� �� - ' ADDRESS BOILER,BTU - CITY - TEL.NO, COMPRESSOR,BTU CONTRACTOR VENTILATION SYSTEM ADDRESS EVAPORATIVE COOLER CITY TEL.NO. FURNACE: FAU GRAVITY STATE 'LIC. FLOOR - BTU LICENSE NO. CLASS HEATER: SUSPEN,DEUNIT_ �, APPROVALS DATE INSPECTOR'S SIGNATURE WALL ROUGH :� �J f� > .✓!�" N." FINAL - INSPECTION RECOR @3 n 7 Plan check fee 25% of above. wD PERMIT ISSUING FEE$ TOTAL FEE PLAN CHECK/A�P�P��LICCA'NT 2 /�. PLAN CHECK VALIDATION NAME 'i/'V(.--,��r��` �^A fJ t-/2- ADDRESS — '-- ADDRESS ,��i,J CITY TEL.NO.G'��'�c�2 '1 A n ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND ;24 1 1, 1 ALL ORDSTATNANCESANDLAWS REGULATING HEATING THAT T ABOVE OERRECT D.AGREE O VENTILATING,NTIILATNIGMPLY H AIR # o'0 O o 4 1 CONDITIONING. PERMIT VALIDATION' I HEREBYCERTIFY THAT I AM NOT ACTING IN VIOLATION OF 2 o'o 17.O 0 CHAPTER 9, DIVISION 3.'OF THE BUSINESS AND PROFESSIONAL CODE - OF THE STATE OF CA ORNIA. 'o�o o 1 7,Q Q U SIGNATURE _ OF PERMITTEE DISTRICT NO. P SSED c5,01 T79