HomeMy Public PortalAbout5332 ALESSANDRO AVE_Mechanical__ 76 A364 - CE 618 - 9 71 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER A:AQ
(PRINT OR TYPE ONLY)
MAI L
NO TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS
CITY TEL NO
ABSORPTION UNIT BTU
CONTRACTOR
AIR HANDLING UNIT CFM
ADDRESS 3 Z Z,
BOILER BTU CITY TEL NO 7961/_7a 7
COMPRESSOR BTU STATE LIC /�
LICENSE NO f CLASSC 6 C?-
VENTILATION
LVENTILATION SYSTEM DISTRICT NO GROUP ZONE PROCESSED BY
EVAPORATIVE COOLERD fi �-fIc
FURNACE FAUGRAVITY
INSPECTION RECORD �
FLOOR BTU
HEATER SUSPENDED UNIT_ F-
WALL U
w
d
N
�v Z
Plan check fee 25% of above See rever-c
PERtNII C ISSUING FEE $ 3 00
[OTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
ALEI 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 INSPECTOR S SIGNATURE
LATING AIR CONDITIONING
ROUGH
CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF CALIF NIA
SIGNATURE PERMIT VALIDATI cK M o CASH
OF PERMITTEE
PLAN CHECK VALID TION cK M 0 CASH
5 4N OCT 20 4 1 D 8,00-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE