HomeMy Public PortalAbout5557 EL MONTE AVE_Mechanical__ I
76A364C
CE 818(REV 6/78)
P APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
BUILDING
FOR APPLICANT TO FILL IN ADDRESS o /
(PRINT OR TYPE ONLY) i'
LOCALITY / Lc T-,,"'
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST n (1.•�
ABSORPTION UNIT BTU '
OWNER
AIR HANDLING UNIT CFM MAIL
ADDRESS
BOILER BTU CITY �J? TEL NO
COMPRESSOR BTU CONTRACTOR '
VENTILATION SYSTEM
ADDRESS
EVAPORATIVE COOLER CITY TEL NO
FURNACE FAU GRAVITY STATE !J �Q LIC '
FLOOR BTU LICENSE NO CLASS
HEATER SUSPENDEDUNIT_ APPROVALS DATE INSPECTOR SSIGNATURE
WALL
ROUGH ,,er 'F��
\ FINAL �j Q�. 0
INSPECTION RECORD u
as
O
Plan check fee 25% of above
PERMIT ISSUING FEE$ Ob Z
TOTAL FEE 1 7 d U
PLAN CHECK APPLICANT
PLAN CHECK VALIDATION
NAMEC�/��� '�{/
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 5`4 2 7 A
CONDITIONING PERMIT VALIDATION
HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF �# o o�o�o 4 1
CHAPTER 9 DIVISION OF THE USINESS AND PROFESSIONAL CODE
OF THE STATE OF CALI RNI
SIGNATURE 1 ' 2 o o 1 ,.0 O
OF PERMITTEE �7
DISTRICT NO PROCESSED BY 00 o o o 1 l,006
O8 07. 1 2 '79