HomeMy Public PortalAbout4948 DOREEN AVE_Mechanical__ 7BA366E ICt-81 BA)-9/77 APPLICATION FOR PERMIT -
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HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES " -
DEPARTMENTOFCOUNTYENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS L/ .
LOCALITY
NO, TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST
ABSORPTION UNIT.BTU -
OWNER C
AIR HANDLING UNIT,CFM MAIL _ )
ADDRESS ( Y
BOILER,BTU CITY EL.NO. ` '•�-
COMPRESSOR,BTU
CONTRACTOR _
VENTILATION SYSTEM ADDRESS .
EVAPORATIVE COOLER CITY TEL.NO.
FURNACE: FAUGRAVITY STATE LIC.
FLOOR BTU LICENSE NO. CLASS
HEATER: SUSPEN ED—UNIT— ..11 DISTRICT NO. GROUP ZONE PRO<E$S�0 BY
WALL I U �V W�//�////jj ,
s' o� Ato 3
INSPECTION RECORD• _ IL
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Plan check fee 25% of above.
PERMIT ISSUING FEE; Z
TOTAL FEE / 7
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.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 1 AM NOT ACTING IN VIOLATION OF APPROVALS DATE (NSP ciOR'SSIGNATURE
CHAPTER 9, DIVISION 3. OF THE BUSINESS AND PROFESSIONAL CODE
OF THE STATE OF CALIFORNIA. ROUGH ��
SIGNATURE i , �j.�{
OF NATURE FINAL�--•/�' ��1 •"✓'r- FINAL
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CN.. M.O. CASH
7 1 9 t°JUN 2 411 U 1 7.0 0 e13