HomeMy Public PortalAbout4911 ALESSANDRO AVE_Mechanical__ 76A36.� ,
CE' 818 (REV 11/78)
IH: APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING ADDRESS A/t /J/G/ATSI,9�
(PRINT OR TYPE ONLY) /r /�
NO TYPE OF APPLIANCE OR EQUIPMENT, FEE LOCALITY
I NEAREST Q //
e1 CROSS ST L,/r /C •�
ABSORPTION UNIT BTU
OWNER
AIR HANDLING UNIT CFM MAIL �/' /
ADDRESS � !� [ P♦>S�J?jy 2
I
BOILER BTU n CITY I /� TEL NO 7 ' &d
COMPRESSOR BTU
� O` DO Q C 1C%Z
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VENTILATION SYSTEM ADDRESS jfAl/ ` lLle Ys x
Tl! /JIC�
EVAPORATIVE COOLER CITY 7—amale, OtN TEL NO
FURNACE FAU GRAVITY STATE LIC
FLOOR BTU D LICENSE NO CLASS
HEATER SUSPENDED UNIT_ APPROVALS DATE INSPECTOR S SIGNATURE
WALL
ROUGH q�IQ
FINAL 4''Z - „�" V
INSPECTION RECOR
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1–
Plan check fee 25% of above IIA
PERMIT ISSUING FEE$ 7 z
TOTAL FEE TZ
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS / ^A I'll-tVVet) ;F
CITY �p !e- !,! TEL NO )_0 _ ,f6,V
IHEREBY ACKNOWLEDGE THAT I HAVE READ PHIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING VENTILATING AIR
CONDITIONING PERMIT VALIDATION ;T 8 4 a 9 A
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
CHAPTER 9 DIVISION 3 OF THE SINESS AND PROFESSIONAL CODE # o e o o 4
OF THE STATE OF CeeqRNIA I
SIGNATURE i 210 �7 D 2 I 00
OF PERMITTEE
DISTRICT NO PROCESSED BV
- 2700 U
�,��" �� 0107-80
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