HomeMy Public PortalAbout5327 ARDEN DR_Mechanical__ 76A36:1E I("E-618A1- 11/76 APPdUCA Mw FOR PERR217
COU(dTY OF LOS ANGE
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING �7
(PRINT OR TYPE ONLYI ADDRESS S32, /J
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NO, TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY
NEAREST
CROSS ST. /
Q!(1 Ve
ABSORPTION UNIT,BTU (/ t
OWNER
AIR HANDLING UNIT,CFM MAIL ,I` — �,J
ADDRESS 3 ArU,
BOILER,BTU CITY GI TEL.NO.
COMPRESSOR,BTU CONTRACTOR Vw�
VENTILATION SYSTEM ADDRESS _
EVAPORATIVE COOLER CITY TEL.NO.
FURNACE: FAU—GRAVITY STATE LIC.
FLOOR BTU LICENSE NO. CLASS
H ATER: SUSPENDED UNIT— D DISTRICT NO. GROUP ZONE P o SSED&Z
C1( WALL
INSPECTION RECORD
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O
Plan check fee 25% of above. w
PERMIT ISSUING FEE� (�
TOTAL FELE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY & G TEL.NO. 77-f 0
I HEREBY A NOWLEDGE THAT IHAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR
CONDITIONFNG.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE
CHAPTER 9. DIVISION OF THE BUSINESS ND PROFESSIONAL CODE
ROUGH
OF THE STATE OFC FORNIA. Z
SIGNATURE FINAL '
OF PERMITTE
PLAN CHECKVALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH
4 6 6 FEB 3 41 0 1 2 0 0 ��o