HomeMy Public PortalAbout9040 BROADWAY_Mechanical__ CE�8IS IREV,6/781
' APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING-
COUNTY OF LOS ANGELES BUILDING AND SAFETY „
FOR APPLICANT TO FILL IN: BUILDING -
SS
ADORE40.(PRINT OR TYPE ONLY) - me. DWA ,
.LOCALITY yy�y-YLE CIT
NO, TYPE OF'APPLIANCE OR EOUIPM ENT FEE
NEAREST ,,�� Qpp
, - CR055 ST. .,.�lil.(iCti P;r'1
ABSORPTION UNIT,BTU i��cm�np T+F(�{7T�
OWNER DZER, FWYD ..
AIR HANDLING UNIT,CFM MAIL 9040 Ei • BROADWAY
ADDRE55
BOILER.BTU CITY TEL,NO,
TF�WT
COMPRESSOR.BTU CONTRACTOR 1aT[SLYI:1 HG`G'
VENTILATION SYSTEM ADDRESS 2034 N. PECK
EVAPORATIVE COOLER CITY TELNO. O
5797989
1 TATE LIC.
FLOORDE: FAU GRPNkT App_ 1().00
0 00 LICENSE NO. 265094 CLASSC-20
HEATER: SUSPENDED-UNIT- APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
ROUGH' (r�� �nJ��!�),� I A,
FINAL I�In InVLI/L��/. Q
INSPECTION RECORD U
IX
0
Plan check fee 25%of above.' 6
PERMIT ISSUING FEE$ 00 Z .
TOTAL FEE yq -
PLAN CHECK-APPLICANT. PLAN CHECKK VAL� aL�
NAME /yip
ADDRESS Q / J O d O O CO.U7 C/ 01—
CITY TEL.NO. 1
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 '
coeomoNlNG. PERMIT VALIDATION R 47 3'7 A
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
CHAPTER 9. OIVISION 3. OF THE BUSINESS A D PROFESSIONAL CODE # O 0:0 1, 4 1
OF THE.STATE OF CALIFO NI ,
SIGNATURE - p, 17.00
7 O O
-0FPERMITTEE CO O
DISTRICT N0. PROCESSED By • 10I O O ' 7.O 0 U
5 '
03 060'4'-79