HomeMy Public PortalAbout5542ALESSANDRO AVE_Mechanical (2) L
7 A364C
CE 918(REV 11/78) r
o: APPLICA ON FOR PERM
HEATING - VENTILATING - OR CONDITIONING ,L
;
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESSES
LOCALIT
NO TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST
CROSS ST CIA"
ABSORPTION UNIT BTU OWNER 4
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AIR HANDLING UNIT CFM MAIL
ADDRESS'' ' ) •/ave ��s
BOILER BTU CIT TEL N04 �c
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COMPRESSOR BTU CONTRACTOR
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VENTILATION SYSTEM
ADDRESS
EVAPORATIVE COOLER CITY TEL NO
FURNACE FAUT_GR TY STATE LIC
FLOOR BTU A j2✓ -� LICENSE NO CLASS
HEATER SUSPENDED UNIT_
WALL APPROVALS DATE INSPECTOR SSIGNATURE
ROUGH �ors�� �.-
FINAL 6
u
INSPECL RECORD p�
Plan check fee 25% of above
PERMIT ISSUING FEE$
TOTAL FEE
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS r
CITY TEL NO
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND 2051 1 A
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING VENTILATING AIR # 0 0 0 0 4 1
CONDITIONING PERMIT VALIDATION
I HEREBY CERTIFY AT I ;NOT ACT] IN VIOLATI0,N OF 2 o 0 1 700
CHAPTER 9 DIVISION OF THE US NESS AN PROFES ION CODE
OF THE STATE OF C FORM a
SIGNATURE
f 0 0 0 11 70006
OF PERMITTEE t
DISTRICT NO P CESSE BY 0 527-80
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