HomeMy Public PortalAbout6004 BURTON AVE_Mechanical__ 76 A364 - `E BIB - 9-71 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL. NO.
ABSORPTION UNIT, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS CGp
BOILER, BTU
CITY TEL.
COMPRESSOR, BTU STATE �-j f ` LIC. c• n
LICENSE NO OC G / CLASS l.� �y
VENTILATION SYSTEM DISTRICT NO. GROUP zoxEocE ss ED BY
EVAPORATIVE COO 1
S L - f
FURNACE: FAUGR V TYO INSPECTION RECORD
FLOOR BTU /
[C
HEATER: SUSPENDED-UNIT—
WALL.
USPENDED_UNITWALL U
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Play check fee 25" of above. See rc,eTse.
PERMIT ISSUING PEE S a 00
TOTA I_ EEE L
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATI NG, /Iq CONDITIONING.
ROUGH p_ E
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHPPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL f 2--/7.
CODE OP THE STATE OP CAL NIA.
SIGNATURE PERMIT VALIDATION cK. M.O. cnsH
OF PERMITTEE
PLAN CHECK VALIDATION CK. M.O. CASH
BEE BACK OF APPLICATION FOR COMPLETE SCHEDULE