HomeMy Public PortalAbout6003 CLOVERLY AVE_Mechanical__ 76(A 36.A - CE 81a-1/75
;�P�PLICAIONR PERMIT
HEATING - VENTILATING.- AIR CONDITIONING
COUNTY OF LBS ANGELES BUILDING
ADDRESS OOH O(/��'
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY Z5�/11/le �
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER �. � �
(PRINT OR TYPE ONLY)
MAIL
TYPE&SIZE OF EQUIPMENTADDRESS
NO. SEE BACK OF APPLICATION FEE
CITY • TEL. NO.
FORCE AIR FURNACE, BTU
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COMPRESSOR, BTU
ADDRESS'--;74��35j �••
VENTILATION FAN
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LIST ALL OTHERS BELOW STATELICENSE NO. 3 .1- CLASS lO
DISTRICT NO. GROUP ZONE
OCESSED BY
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Plan check fee. See reverse. z
P[:N�ll'I' ISSI"IVG F{•;t: � o
06
PL•AN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS ULATING HEATING, VENT I- APPROVALS DATE INSPE TOR'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH 71
I HEREBY CERTIFY THA 1 AM TING I -VIOLATION FINAL •7�Z2-��
OF CHAPTER 9, DIVISION 3 F HE 8 S AND P OFESSIONAL
CODE OF THE STATE OF P IA.
SIGNATURE / PERMIT VALIDATION
OF PERMITTEE M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
31 5 1C_-FEB _'3 4 1 U 1 2.0
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