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APPLIC ION FOR PERMIT
• HEATING - VENTILATING - AIR CONDITIONING
• COUNTY OF LOS ANGELES BUILDING 5459 SARA MAR IAM
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY HRPZ Cm
NEAREST
CROSS ST �qT�y�
FOR APPLICANT TO FILL IN OWNER MICHAEL, HAWN
(PRINT OR TYPE ONLY)
NO TYPE&SIZE OF EQUIPMENT FEE MAIL ♦M
ADDRESS SAME
56! BACK OF APPLICATION
FORCE AIR FURNACE BT _ CITY rIE24U CI TEL NO 285_1413
CONTRACTOR HCC
COMPRESSOR BTU
ADDREss 2034 N. PECK RD.
VENTILATION FAN
CITYs. TEL NO _
LIST ALL OTHERS BELOW STATE LIC
LICENSE NO CLA
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INSPECTION RECORD
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PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY ACRNOWLEDOE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENTI- APPROVALS DATE INSPECTO I
LATING AIR CONDITIONING
ROUGH
I HEREBY CERTIFY THAT AM CTING IN VIOLATION
'OP CHAPTER D DIVISION 3 OF THE B Ix S • PROFESSIONAL FINAL - L
CODE OF THE STATE OF C It NIA —
7_M69&%_—A;E_- I
SIGNATURE ERMIT VALIDATIO cN _mlo'V CAS19
OF PERMITTEE
PLAN HECK VALIDA ON CK M 0 CASH
WORKERS WENSATION
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Pve A364 CE ele- D-03 AppLI TION FOR RMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING5469 Sara Mar Lane
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER Craft Built dome
(PRINT OR TYPE ONLY)
MAIL
NO YPEOFAPPLIANCE OR EQUIPMENT FEE ADDRESS 230 E. ValleyBlvd.
ABSORPTION UNIT, BTU CITY San Gabrile TEL NO 280 7382
CONTRACTOR
AIR HANDLING UNIT CFM
Oman Rms. Plumbing, Tne.
ADDRESS 65 N. Baldwan Ave.
BOILER, BTU CITY El Monte TEL NO 443
COMPRESSOR, BTU LICENSE NO 231 741 C36,2o LIC
CLASS
VENTILATION SYSTEM DISTRICT NO GROUP ZONE P CESSED BY
EVAPORATIVE COOLER tel, O O 1 _ ( r
FURNACE FAUGRA VITV INSPECTION RECORD
FLOOR BTU
HEATER SUSPENDED
PENDED UNIT_ Q� >
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PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND !TATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING YENTI- APPROVAL! DATE INSPECTOR!SIGNATURE
LATINO AIR CONDITIONING
ROUGH
HEREBY CERTIFY NOT ACTINO IN VIOLATION
OF CHARTER 9 OIVIII N 3 3 THE
BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE A IF NIA
SIGNATURE PERMIT VALIDATION ER M 0 CASH
OF PERMITTEE
PLAN CHECK VALIDATION Cx M 0 CASH
4 8 7 w APR 11 41 O
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE