HomeMy Public PortalAbout8719 BURGHARDT RD_Mechanical__ T611364C
CE-B I B(REV.6/7B)
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
(PRINT OR TYPE ONLY) V TY
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE GG Tt
NEAREST
CROSS ST.
ABSORPTION UNIT.BTU
OWNER
AIR HANDLING UNIT,CFM MAIL Vl
ADDRESS �L
BOILER, BTU CITY - /- TEL.NO: �
COMPRESSOR.BTU CONTRACTOR l
Qa
VENTILATION SYSTEM S71*
ADDRESS u
EVAPORATIVE COOLER CITY TELSTATE L,NO.:4/,,773
/
FURNAC.
FLOORCE: FAU BTU GRLICENSE NO. LA55`/E--1
HEATER: SUSPENDED—UNIT— gPPROVALS DATE INSPECTOR'S SIGNATURE
WALL010/
0
-OU7-4( ROUGH0.
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FINAL vw.v O
INSPE TION RECORD V
M
O
Plan check fee 25% of above.
PERMIT ISg
TOTPLAN cHEcrc APPLICANTPLAN CHECK VALIDATION 5 5 6 A
NAME
ADDRESf�j e e e 04 I
CIT TEL.NO. •2 o - 2700
ER BY AC LEDGE HAT I HAJ READ TH15 APPLICATION AND o e o 2 7.0 0 U
STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING. VENTILATING. AIR I 1.O,I —79
CONDITIONING. PERMIT VALIDATION
HEREBY CERTIFY T T M A ING IN VIOLATI OF
CHAPTER 9, DIVISION 3 F BU N S JD PROFESSION CODE
OF THE STATE OF CALI k!
SIGNATURE
OF PERMITTEE
DISTRICT NO. PR11CES OB
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