HomeMy Public PortalAbout6256 AVON AVE_Mechanical__ 76 A364 CE 818 5-73
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY _ rs
NEAREST
CROSS ST
T 4+
FOR APPLICANT TO FILL IN OWNER (�
(PRINT OR TYPE ONLY)
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY r TEL NO
ABSORPTION UNIT BTU
CONTRACTOR
AIR HANDLING UNIT CFM
ADDRESS
i 1
BOILER BTU CITY TEL NO13
COMPRESSOR BTU STATE
LICENSE NO C
VENTILATION SYSTEM DISTRICT NO GROUP Z E ROCESSED BY
EVAPORATIVE COOLER
FURNA GRAVITY INSPECTION RECORD
FLOOR "BTU
HEATER SUSPENDED UNIT_
WALL
d
O
U
C
O
F—
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LtJ
CL
Plan cher-1, fee 25io of above See reNcrse
PERMIT ISSUING I F C $ 3 00
TOTAL rLE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENTI APPROVALS DATE INSPECTOR S SIGNATURE
LATING AIR CONDITIONING
1 ROUGH ti 73��, ytiy>
I HEREBY CERTIFY rf AT M NOT A G IN VIOLATION
OF CHAPTER 9 DIVISION OF T E IA.
A D PROFESSIONALK"RMIT
L ��•�'-
CODE OF THE STATE OF IFO IA
SIGNATURE ' / VALIDATION CK M o CASH
OF PERMITTEE L/(l
PLAN CHEC V LIDATION CK M D CASH ^
9 6 3NP1AY 2 4 1 A
1
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE F