HomeMy Public PortalAbout6104 CAMELLIA AVE_Mechanical__ �eAieac •
Cd-eielRw.er7e1
m� APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY-OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
`
(PR)NOR ADDRESS OR TYPE ONLY) li
LOCALITY
NO. TYPE QF APPLIANCE OR EQUIPM LNT FEE
NEAREST
CROSS ST.
ABSORPfrION.UNIT,BTU
OWNE
AIR HANDLING UNIT,CFM MAIL
ADDRESS . Z 7
BOILER,BTU CRY TEL NO.Z��
COMPRESSOR,BTU
CONTRALTO
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY TEL N
O
E: AU STATE
LICFURNAC
FLOOR--- V
Q LICENSE NO.-29C—/1 C .
HEATER: SUSPENDED UNfT_ APPROVALS DATE IMSPESp RATURL
WAI I
ROUGH 4
FINAL
INSPECTION REC D Cm
Plan check fee 25% of above.
PERMIT ISSUING FEE$
TOTAL FEE 1
PLAN CHECK APPLJCANT - PLAN CHECK VALIDATION
NAMEs..�
ADDRESS �/cl%Q 7
CITY TEL NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND -2 7'8 I{,4 A
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND' LAWS REGULATING HEATING, VENTILATING, AIR
CONDITIONING. � ;# o o�o o (I. 1
PERMIT VALIDATION
I HEREBY CERTIFY THAT I AMNOT ACTING IN VIOLATION OF `Z,p b
CHAPTER 9. DIVISION S, OF E BUSINESS AND PROFESSIONAL CODE ,
OF THE STATE OF CALIF '
SVGNATURE - ��I� 2 7,O O U 2
1JFPERMITrEE
DL57R1 CT NO. PROCESSED � .
1 1, 19-79