HomeMy Public PortalAbout9445 LAS TUNAS DR_HVAC_8/20/1974_ventilation system Rustler Steak House pp-
76
76 A364- CE 818- 5-73
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING / „_ �i�•
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) /?05]rze.,22 ox Lf i
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL. NO.,
ABSORPTION- UNIT, BTU
CONTRACTOR � ,t ��
AIR HANDLING UNIT, CFM �_A
ADDRESS 6jo -;,
BOILER, BTU
CITY/ 0=1. y
COMPRESSOR, BTU STATEr
LICENSE NO. (.a-'d ZO CLASS LO
VENTILATION SYSTEM p1 `.�q DISTRICT NO, pr ZONE P OCE SED Y!rV -
EVAPORATIVE COOLER
FURNACE: FAUGRAVITY CCJJ
FLOOR BTU
INSPECTION RECORD
HEATER: .SUSPENDED UNIT_
WALL
/O �O
U
C=
A.C- .� -
W
a-
Plan check fee 25%of above. See reverse.
PEIIMIT ISSUING FEE $ s 00
TOTAL FEE
PLAN CHECK APPLICANT
NAM `g
A DDRESS
CITY,4,,Q, TEL.NO j
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 AT I AM- OT ACTING IN VIOLATION -
OF CHAPTER 9} DIVI N OF THE .UNSINES AND OFESS AL, `FINAL /.j �
:CODE OF THE STAT OF IFORN
SIGNATURE PERMIT VALIDATION CK. M.0. CASH
OF PERMITT
PLAN CHE K VALIDATION CK. M.0.1 CASH
6 0 c-Au6-20 :4r1. 1) 4 7.5.0.A
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE -
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