HomeMy Public PortalAbout4827 ALESSANDRO AVE_Mechanical__ � y
76A364C u
CE 8181REV 6/78)
os APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
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COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN TA
LDING
(PRINT OR TYPE ONLY) DRESS
CALITY
NO TYPE OF APPLIANCE OR EQUIPMENT FEE RESTOSS ST
ABSORPTION UNIT BTU
OWNER 09
AIR HANDLING UNIT CFM MAIL
ADDRESS
BOILER BTU ' "�
i CITY i/> ! L NO �7
COMPRESSOR BTU CONTRACTOR L,C/ 01-
VENTILATION SYSTEM
ADDRESS /C� /�
EVAPORATIVE COOLER CITY �� TEL NO �7 31)
FURNACE FAU GRAVITY STATELIC �.
FLOOR BTU LICENSE NO �liY CLASS
HEATER SUSPENDED UNIT_ APPROVALS DATE INSPECTOR S SIGNATURE
WALL p �g
ROUGH
FINAL 0
O
INSPECTION RECORD V
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Plan check fee 25% of above
PERMIT ISSUING FEE$ Z
TOTAL FEE
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PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME /� �- /� c
ADDRESS `j /i Y pa V's'3�l'Y�/ 2C�0
CITY J,�v TEL NO IV
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL 5 3 3 9 A
ORDINANCES AND LAWS REGULATING HEATING VENTILATING AIR
CONDITIONING PERMIT VALIDATION # 01o'o o 4 1
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF 3
CHAPTER 9 DIVISION 3 OF THE BUSINESS AN�ESSIONAL CODE �7
OF THE STATE O IFORNIA ( Z ! O O
SIGNATURE
OF PERMITTEE o- o o o 1 7 0 055
DISTRICT NO PROCESSED B
08,
� 07�09-79
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