HomeMy Public PortalAbout10533 BOGUE ST_Mechanical__ 76A364E(CE-81 BA)-9/77 APPLICATION FOR PERMIT ,
HEATING - TILATING - AIR 0 ITIONING
�COUNTYLOSANGELES '
DEPARTMENT OF,COUNTY,ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY
NO' TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
f CROSS ST.
ABSORPTION UNIT,BTU 1
OWNER
AIR HANDLING UNIT,CFM MAIL
ADDRESS
BOILER,BTU CITY'' 644 TEL NO
COMPRESSOR,BTU CONTRACTOR
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY EL.NO.
FURNACE: FAU GRAVITY STATE /?l� LIC '
FLOOR BTU LICENSE NO VV 'CLASS
HEATER. SUSPENDED UNIT- DISTRICT NO 'P ZONE PROC SSEDBY'
WALL
INSPECTION RECORD O
09
O
Plan check fee 25% of above.
PERMIT ISSUING FEE$ Z
TOTAL FEE
PLAN CHEC"PPL
fANT
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, VENTILATING, AIR
CONDITIONING
I HEREBY-CERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE
CHAPTER-9, DIVISIO 3. OF THE USINESS AND PROFESSIONAL CODE ,
OF THE STATE OF FORNIA ROUGH
SIGNATURE FINAL •� �/'�
OF PERM ITTE
PLAN CHEYK VALIDATION cK M.O CASH PERMIT VALIDATIONJ c�. mO CASH
FOLICY HOLDER
9 4'4 It ilk 8 4 1 .0 1 .5.17 5A!,
FOLiCY NUMBER: �d3�sa Os