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HomeMy Public PortalAbout5260-5262-5262-5264-5266 VILLAGE CIRCLE DR_Mechanical__ 76 A364- CE 818- 5-73 APPLITION FOR P RMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING �C �.3 26 �iS2bZi S2(o.yC DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY S L) NEAREST CROSS S FOR APPLICANT TO FILL IN OWNERL . (PRINT OR TYPE ONLY) MAIL NO. TYPE OFAPPLI.ANCEOR EQUIPMENT FEE ADDRESS S7-vo ABSORPTION UNIT, BTU L�J�c.Ca� CITY TEL. NO. +� -�- 39 D7 AIR HANDLING UNIT, CFM CONTRACT ADDRESS l(c� BOILER, BTU CITY TEL. NO. .3V / Or - COMPRESSOR, BTU I/ 00 STATE r LIC. �aa LICENSE NO. 1fSq12 CLASS VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY EVAPORATIVE COOL R /1' � �P� a FURNACE: FAUkof_GR VITY INSPECTION RECORD FLOOR BTU O O® HEATER: SUSPENDED UNIT_ d' ov t:��A`�� �� ``��'} `�� WALL PC b IJ�a .�+r=r+�ttEIlil°ate rf I !•i��`:P.•:'!1'a aA'✓,..:�CX:�•�,'Je,�• .J�.N�,�f�t /�.�N:l:wn �� O CD _ W CL N Plan check fee 257o of above. See reverse, z PERMIT ISSUING FEE S 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, VENTI- APPROVALS DATE 4„ INS CTO 'S SIGNATURE LATING,AIR CONDITIONING. ROUGH 1HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OCH F CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL CODE OF THESTATE OF ALIFOR NIA. P SIGNATURE ERMIT VALIDATION cK. M.o. CASH - OF PERMITTEE - 2i=a:1;aI PLAN CHECK VALIDATION CK. M.O. CASH 2 4 1107 19 41 D. 6 4.5 0 ©,o