HomeMy Public PortalAbout9903 DUFFY ST_Mechanical__ 76A364C
CE-818 (REV.14/78) _
t4 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING _
ADDRESS
(PRINT OR TYPE ONLY) -
LOCALITY
NO. TV PE OF APPLIANCE OR EQUIPMENT FEE.
NEAREST p /
GROSS ST. a �4T �: ,.�.
ABSORPTION UNIT.BTU - ,
OWNER
i! Ll i gIry /
AIR HANDLING UNIT.CFM MAIL ClDDRESS / C�/E Y G
BOILER.BTU CITY TEL.NO.
V
COMPRESSOR,BTU CONTRACTOR .1
4 eH
VENTILATION SYSTEM
ADDRESS +�
EVAPORATIVE COOLERCITY TEL.NO' `:)l3 c�
i,
FURNACE: FAU_GRAVITY STATE y ALIC. _
FL BTU LICENSE NO. �T CLSS
H EATEf4: SUSPEN D'FD`UNIT__ , O APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
ROUGH Z� �•' OL7fL//b%✓eTz— G
FINAL ./D. �- / O
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INSPECTION RECORD pp
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Plan check fee 25% of above. N
PERMIT ISSUING FEE$' -7 — Z
TOTAL FEE / -710
.
PLAN CHECK APR LICANT PLANCHECK VALIDATION -
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND I1
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL A 0 0 2.2 A
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR
CONDITIONING. PERMIT VALIDATION a e'o e Q
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
CHAPTER 9, DIVISION 3. F E BUSINESS AND PROFESSIONAL CODE 2 0 a 1 7.00
OF THE STATE OF CALIF p
SIGNATURE //� O•O e , 7i O O
OF PERMITTEE INT -- '1.
[STFUC�NO. PROCESSED BY 0a 23�8O
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