HomeMy Public PortalAbout6115 CAMELLIA AVE_Mechanical__ 76 AS64.=CE 616-1/77
APPLI ATION FOR PERMIT
r HEATING - VENTILATINCr- AIR CONDITIONINGAga
COUNTY OF LOS ANGELES BUILDING
6 rtY"i+�=A AVE.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY e n
C OSS T.
FOR APPLICANT TO FILL IN OWNS
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE&SIZE OF EQUIPMENT A DRESS SANE
SSE SACK OF APPLICATION
CITY rE TEL NO.446-_-4045
1 FORCE AIR FURNACE, BTU ��
Emp
CONTRACTOR
1 COMPRESSOR, BTU
ADDRESS 2034 N. RD.
VENTILATION FAN CITY TEL. NO.
LIST ALL OTHERS BELOW STATE LIC.
LICENSE NO, CLASS
Oak
RIC No. OROUP O E RRO 8 Y
INSPECTION RF-COR
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Plan check fee, See reverse. S
PEH>il'f ISSUING FVIF; S
TOTAI, FEF.
PLAN CHECK APPLICANT -
NAME
ADDRESS
CITY TEL.NO.
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE II CORRECT AND AGREE TO COMPLY
WITH ALLORDINANCES AND LAWB REGULATING HEATING, VENTI- APPROVALS DAT[ LNSPECT Y DIG
LATING, AIR CONDITIONING.
ROUGH
I HERESY CERTIFY THAT I AM NO ACTING IN VIOLATION 10
OF CHAPTER G, DIVISION S, OF 7 SU S AND PROFESSIO L FINAL
COD[ OF THE DTATE OF A IF
SIGNATURE PERMIT VALIDATION CK .0. CASH
OF PERMITTEE Ar
PLAN HECK VALIDATION CK. M.O. CASH
7 0 7 F-APR 15 4 1. 11 9,5 0 +%