HomeMy Public PortalAbout6132 BURTON AVE_Mechanical__ 76A366E ICE-B I BA1-9/77 APPLICATION FOR PERMIT
HEATING VENTILATING - AIR CONDITIONING ,
COUNTY OF LOS ANGELES
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
GROSS ST.
ABSORPTION UNIT,BTU— I
OWNER
AIR HANDLING UNIT.CFM MAIL
ADDRESS LJ
BOILER.BTUCIT TEL.NU
COMPRESSOR.BTU CONTRACTOR - 5
VENTILATION SYSTEM ADDRESS JU
EVAPORATIVE COOLER CIT �IK'y ` TEL NO:
CJI �
FURNACE: FAU GRAVITY STATE �" UC.'
FLOOR BTU LICENSE NO. CLASS
HEATER: SUSPENDED—UNIT— DISTRICT NO. Roue zorvE OCESSED BY
WALL /_.�� -
INSPECTION RECORD A.
V
m
Plan check fee 25% of above.
d
iI-
PERMIT ISSUING FEE$ Z
TOTAL FEE Q —
� 5
PLAN CHECK APPLICANT
Vt. IS
NAME Lilts IUD("
ADDRESS
I
CIT (; TEL.NO. 5'
IHEREBY 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 I APPROVALS DATE INSPECTOR'S SIGNATURE
CHAPTER ICkVISION 3, OF THE B' NE55 AND PROFESSIONAL CODE ROUGH
OF THE STATE ORIcALIFORNIA.
SIGNATMRE
OF PERM(
PLAN CHECK VALIDATIONcN. w,.o. cesH PERMIT VALIDATION CN. N,O. CASH
N e e' o
O N .N B R
OD O O + D
CH Os