HomeMy Public PortalAbout5208 DALEVIEW AVE_Mechanical__ " °364.-,CE,RIB _ 71AP"PL I FOR PERMIT
HEATITION NG -'VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDROESS r
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) R 4��L
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL. NO.
ABSORPTION UNIT, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS ,,j�� '�� `7-21
BOILER, BTU
CITV /S/CTEL. NO.
COMPRESSOR, BTU STATE LIC. (o
LICENSE NO. �3i CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE ESSED BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY l/
FLOOR BTU 119f-) GG INSPECTION RECORD
s
HEATER: SUSPENDED_UNIT
WALL U
W
C1
H
Z
Plan check fee 250 of above. Sec reverse.
PER\IIT ISSUING FEE S 3 Da
TOTA1, FEE go
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
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, VENTI- APPROVALS CITE INB CTOR'S SI NATURE
LATINS, AIR CONDITION,
NG.
ROUGH
I HEREBY CERT 2� RTN
AM NOT ACTING VIOLATION
OF CHAPTER 9, DIV NHE.BUSIN S OFESSIONAL FINAL
CODE OF THE STPT IA. ��-- J
SIGNATURE MIT VALIDATION cK. M.D. CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK. M.D. CASH
( 31% 329473 SEP 21 41 A 8,OOs 4
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE