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HomeMy Public PortalAbout5122 BARELA AVE_Mechanical__ 76A364E ME-818A)-1 1/76 APPLICATION FOR PERMIT HEATING - ' TILATING/ AIR CONDITI NING COUNTY F LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING (PRINT OR TYPE ONLY) ADDRESS 1.,J/ 2-- LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST F 38� �-y � CROSS ST. i, ABSORPTION UNIT,BTU 1 ob )� „f OWNER 1)ON r��J AIR HANDLING UNIT,CFM MAIL ADDRESS BOILER,BTU � CITY /C-Y!'I �- �. TEL.NO. COMPRESSOR,BTU CONTRACTOR 1-4 OO- s VENTILATION SYSTEM ADDRESS , EVAPORATIVE COOLER CITY , TEL.NO.&5-Z' ,� FURNACE: FAU GRAVITY STATE q LIC. FLOOR BTU LICENSE NO. / CLASS HEATER: SUSPENDED UNIT- DISTRICT NO. GROUP ZONE PROCESSED BY WALL INSPECTION RECORD u 0 F Plan check fee 25% of above. PERMIT ISSUING FEE$ TOTAL FEE t5 PLAN CHECK APPLICANT NAME a" ADDRESS 70I,-� CITY I�'�� TEL.NOlt'�� f IHEREBY 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, VENTILATING, AIR CONDITIONING. I HEREBYCERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE ROUGH OF THE STATE OF C FORNIA. SIGNATURE �.T Z . ,• .� FINAL 3®j ���''• OF PE RMITTE V PLAN CHMK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH X 4 7-SEP 74 , 1 5.7 5 : ©5