HomeMy Public PortalAbout4815ALESSANDRO AVE_Mechanical 76 A364 - CE 818 - 9 71 APPLIC ION FOR PER T
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRES IS
TY V TEL NO ����6
ABSORPTION UNIT BTU � 2 v
CONTRACTOR
AIR HANDLING UNIT CFM
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BOILER BTU CITY EL NO /
COMPRESSOR BTU STATE J�� CLIC
LASS
LICENSE NO
VENTILATION SYSTEM DISTRICT NO GROUP ZONE ESSED Br
EVAPORATIVE COOLER �^ 06t7-(
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FURNACE FAU GRAVITY INSPECTION RECORD C.,)
FLOOR BTU
HEATER SUSPENDED UNIT_ c:)
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Plan check fee 2591. of above See reverse
PERMI I ISSUING FEE 9
TOTAL FFE 7
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I 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
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION �}
OF CHAPTER 9 DIVISION OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE 0 LIFOR NI
SIGNATURE PERMIT VALIDATION ' M D CASH
OF PERMITTEEe4d
PLAN CHEC ALIDATION CK M 0 CASH
7 8 1 JUN 2 4 1 0, 1 5.'7 5 ®"�
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SEE BACK OFAPPLICATION FOR COMPLETE FEE SCHEDULE II >tz-y