HomeMy Public PortalAbout4817 AGNES AVE_Mechanical_8/15/1977_compressor x' M a
E 8118"1 111/78 , APPLIC RI FOR PER !
HEATING VENTILATING AIR CONDITIONING
b t S t�
COUNTY OF LOS ANGELES { t x
i 11
t DEPARTMENT OF COUNTY ENGINEER y r
BUILDING AND SAFETY DIVISION { y5
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS
r LOCALITY
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST U r ZI/S t
ABSORPTION UNIT BTU
OWNER
AIR HANDLING UNIT CFM 3. MAIL CY n }
6
ADDRESS �(
BOILER BTU 11 CITYTE-t4 t 4TEL NO
+
VENTILATION SYSTEM Y I ADDRESS r
+
EVAPORATIVE COOLER CITY A, L NO
FURNACE FAU—GRAVITY STATE F LICk
FLOOR BTU LICENSE NO CLASS
HEATER SUSPENDED UNIT— DISTRICTNO Q, GROUPZONE PROCESSED BY
WALL � • �(.• � �
I �
ti
11 I INSPECTION RECORD f O
r i V
r r
x C
Plan check fee 25/o of above W
PERMIT ISSUING FEE�" $v , Z
TOTAL FEE
PLAN CHECK APPLICANT 11
NAME f o
r.
ADDRESS
CITY TEL NO
r e
I HE EBY 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
CONDITIONING �-
I HEREBY CERTIFY THAT I AM'NOT ACT G IN VIOLATION OF APPROVALS d DATE TO INSPECTOR S SIGNATURE
CHAPTER 9 DIVISION 3 OF THE BUSINE A PROFESSNAL CODE ROUGH * + n
OF THE STATE OF TLORNtIV SIGNATURE FINALOFPERMITTE
if r
PERMITV/b►LIDATION <c�K--� Mo CASH r
PLAN CHE VALIDATIOV CK MO CASH ��Y { \ N r
CIU
203rALIG„1541 ®C� S 11 ; ® � ,