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HomeMy Public PortalAbout9319 DAINES DR_Mechanical__ n 76A3641(GE 81 -8 77 APPLICATION FFR PERMIT HEATIMG - !VENTILATING - AIR CONDITIONIMG N COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING (PRINT OR TYPE ONLY) - -ADDRESS LOCALITY L NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST + � t CROSS ST. l.-+{. ABSORPTION UNIT,BTU �- _ -OWNER AIR HANDLING UNIT,CFM MAIL ��-i _ ADDRESS 9, BOILER,BTU CITY __��, ! TEL.N COMPRESSOR, BTU_ � / CON TRACTO VENTILATION SYSTEM ADDRESS/ ;;7 EVAPORATIVE COOLER CITY�`j TEL.N(Z:�jyv/, FURNACE: FAU GRAVITY STATE . /-✓c-C �'f� LIC. FLOOR BTU ev LICENSE NO.. CLASS HEATER: SUSPENDED UNIT- DISTRICTNO. GROUP ZONE. ROCE ED BY WALL 1NSPECTIO RECORD u . Qt ® . Plan check fee 25% of above. d PERMIT ISSUING FEE$ TOTAL FEE PLAN'CHECK APPLICANT ' NAME ADDRESS CITY - TEL.NO. •- • I HEREBY'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 ACTINLG IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE CHAPTER 9, DIV 3, OF SINESS ROFESSIONAL�DDE.OF THE STATE F CALI ORNIA. ROUGH SIGNATURE FINAL ®f�'�C Cl� OFPERMITTE or..[ `>I. - PLAN C IC VI AT-ION cK. -m.0. CASH PERMIT VALIDATION cK. M.o., CASH !O n:- RS COMPENSATION ' >� 4 y 2:N �F, FOLIC HOLDER: 5 5 &"AIDC i�3 U 7..0.0 �r POLICY NUMBER: Ls A'-Z �j ©s