Loading...
HomeMy Public PortalAbout5210AGNES AVE_Mechanical (2) a s F � 4 76A364C S CE 818(REV 6/78) (.0 ©s APPJ,YCATION FOR PE HEATING - VENTILATING - AIR ONDITIONING r COUNTY OF LOS ANGELES BUILDING#D SAFETYBUILDING t I FOR APPLICANT TO FILL IN ADDRESS ,2j� G� ` (PRINT OR TYPE ONLY) { LOCALITY (� NO TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST I CROSS ST � ABSORPTION UNIT BTU { OWNER AIR HANDLING UNIT CFM MAIL C I + ADDRESS v BOILER BTU / ---. L �J CITY TEL'NO;463Z rt COMPRESSOR BTU CONTRACTOR VENTILATION SYSTEM ADDRESS EVAPORATIVE COOLER CITY TEL NO d� / FURNACE FAU GRAVITY STATE ` / LIC FLOOR BTU LICENSE NO V V CLASS HEATER SUSPENDED UNIT_ h WALL APPROVALS DATE INSPECTO SIGNATURE ( ROUGH 1 474 FINAL d INSPEb TI N,REC D V @9 O Flan check fee 25% of aboverS I e 7 - 9 ! 1 PERMIT ISSUING FEE$ Z TOTAL FEE L HECK AP CANT PLAN CHECK VALIDATION SS1 TE NO HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL NCES AND LAWS REGULATING HEATING VENTILATING AIR IONING PERMIT VALIDATION �HEREBY CERTIFY THAT I AM NOT ACT IN VIOLATION OF ER 9 DIVISION 3 OF THE USINESSA0FESSIONAL CODE "` �0870A STATE OFC R TURERMITTEE • x • • 41 DISTRICT NO PR BY s T 2',-`o 2 7 0 0 b 00027005 i 6Q18-78 s t � r 1 r