HomeMy Public PortalAbout5940 ALESSANDRO AVE_Mechanical__ F^ 1
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76A36dE(CE H1 HA) 9/77 APPLICATION FOR PERMIT '
HEATING - VENTILATING - AIRI COWDITI&IPTG
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OF L NGELES
a
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS i
LOCALITY I
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSSST
ABSORPTION UNIT BTU
OWNER
AIR HANDLING UNIT CFM MAIL ti
ADDRESS
BOILER BTU CITY TEL
COMPRESSOR BTU CONTRACTOR%44",&
VENTILATION SYSTEM ADDR SS A10 '1 ~
EVAPORATIVE COOLER CITY Q TEL NOeL�y�3U
LIC
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FURNACE FAU-GRAY Y STATELICENSE NO �O i� 7 `p
FLOOR BTU �� CLASS
HEATER SUSPENDED UNIT- DISTRICTNO GROUP ZONE ESSED BY
WALL
-574 3 Q 3
INSPECTION RECORD d
0
26 7
Plan check fee 25% of above 9
PERMIT ISSUING FEE$ ut
Z
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
r
CITY TEL NO
IHEREBY 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 r
I HEREBY C Y THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR 5 SIGNATURE
CHAPTER 9 DIV I N 3 OF THE BUSINES AND PROFESSIONAL CODE
OF THE STATE O A RNIA ROUGH 5 w
SIGNATURE FINAL 5
OF PERMITTE
PLAN CHECK VALIDATJl N c-Iy H ASH PERMIT VALIDATIO cK Mo CASH
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POLICY HOLDER 0 5 9�Ai1G 24,1 D 17 0 t7 e5�
POL6CY NUMBER __ /-C /G�