Loading...
HomeMy Public PortalAbout5461 CLOVERLY AVE_Mechanical__ 7SA364E (CE �816A) 11/76 APPLICATION FOR PERMIT v HEATING - VENTILATING - AIR CONDITIONING k� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING - (PRINT OR TYPE ONLY) ADDRESS (f LOCALITY P ` NO „TYPE OF APPLIANCE OR EQUIPMENT FEE , NEAREST CROSS ST ABSORPTION UNIT BTU J OWNER / AIR HANDLING UNIT CFM MAIL ADDRESS BOILER BTU CITY TEL NO _;7,,,& COMPRESSOR BTU CONTRACTOR ZiL— VENTILATION SYSTEM ADDRESS EVAPORATIVE COOLER CITY TEL NO FURNACE FAU-GRAVITY STATE LIC FLOOR BTU LICENSE NO �Q CLASS HEATER SUSPENDED UNIT- DISTRICT NO GROUP ZONE OCESS BY WALL Z 6�?�4 / INSPECTION RECORD d Plan check fee 25% of above 9 PERMIT ISSUING FEE$ TOTAL FEE 7� PLAN CH K APPLICANT t / NAME ' ADDRESS CITY NO 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 APPROVALS DATE INSPECTOR S SIGNATURE CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL CODE ROUGH OF THE STATE OF CALIFORNIA } SIGNATURE FINAL OF PERMITTE PLAN CHE V (DATION CK Mo CASH PERMIT VALIDATION cK Mo CASH 9 4 20 4 r1 0 1 5.7 5 ,& r ©s Y v �