HomeMy Public PortalAbout9538 BISBY ST_Mechanical__r ,
c e1dA1-9n7 APPLICATION F PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELESGL+b r�
DEPARTMENT OF COUNTY ENGINEER , --
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FLL IIN BUILDING C r
(PRINT OR TYPE ONLY)_ ADDRESS
LOCAUTY 72
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
GROSS ST.
ABSORPTION UNIT,BTU "S'- O
OWNER � q.
AIR HANDLING UNIT,CFM l- /�/ ADDRESS �,[J
BOILER,BTU ,2 C TEL NO. 7,1 i7
COMPRESSOR,BTU_���n nC2� CONTRACTOR
jI
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY N TEL N .�. 9
FURNACE: FAU GRAVITY STATEf / fj L.IG.
FLOOR BTU LICENSE NO. P CLASS
HEATER: SUSPEND ED-UNIT- DISTRICT NO. GROUP ZONEPROCESSED BY
WAI If�DR
INSPECTION RECORD
Plan check fee 25% of above.
PERMIT ISSUING FEE$ -7. —
TOTAL FEE 7
PLAN CHECK APPLICANT I
NAME
ADDRESS
CIT' TEL NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE LS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING, VENTILATII}G, AIR
CONDITIONING.
I HEREBY CERTIFY THAT I All NOT ACtING IN VIOLATION OF AMMALS DATE INSPECT
CHAPTER 9, U"011_,.3.D, OF THE BUSINESS PROFESSIONAL CODE _
OF THE STATE CAL RNIA ROUGH �� 0 0 0 0
SIGNATURE FINAL ��. / F
OF PERM fTTE 4' -
PERMIT VALIDATIONCASH
PLAN CHEC ADA O N cK uy� CASH icy- rt o. 2
LI7 =
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0208--79
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