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HomeMy Public PortalAbout9168 JAYLEE DR_Mechanical_7/25/1978_heater 76k36415 IG,-*-9,SA)-9/77 APPLICATION FOR PERPRIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING ADDRESS (PRINT OR TYPE ONLY) LOCALITY _ice ft0G_ _�•� s�/ NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST CROSS ST.. ABSORPTION UNIT,BTU OWNER` AIR HANDLING UNIT,CFM MAIL ADDRESS ` C- BOILER,BTU CITY // TEL.NO. VENTILATION SYSTEM ADDRESS EVAPORATIVE COOLER CITY _ TEL.NO. FURNACE: FAUGRAVITY STATE vLIC. FLOOR BTU LICENSE NO. CLASS HEATER: SUSPEND UNIT- DISTRICT NO. ,GROUP ZONE CESSED BY WALL ,.. -- ✓C D a -3 01 ` INSPECTION RECORD adO Plan check fee 25%of above. i PERMIT ISSUING FEE$ TOTAL FEE PLAN CHECK APPLICANT NAME ADDRESS - CITY. TEL.NO. - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND - STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING. VENTILATING, AIR CONDITIONINGA011F I HEREBHAT I AM NOT ACTI VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE CHAPTER 9, DF 1 55 AND PR•FESSIONAL CODE OF THE STATEI ROUGH SIGNATURE � FINAL OF PERMITTE ,PLAN CHECK VALIDATION K. CASH PERMIT VALIDATION � M.O. CASH , 9 0 24"'JUK 25`4.:. U ©s I► C� Y�