HomeMy Public PortalAbout9018 EMPEROR AVE_Mechanical__ 76 A364 - CE 818 - 9-71 ���""`•- -
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING r
DEPARTMENT OF COUNTY ENGINEER ADDRESS .
BUILDING AND SAFETY DIVISION LOCALITY-''/ -
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER -
(PRINT OR TYPE ONLY
MAIL '
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS
CITY T.EL. NO.
ABSORPTION UNIT, BTU r '
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU CITY TEL. NO.
c'
COMPRESSOR, BTU STATE _ _ LIC. /
LICENSE NO...• ' i ) .! 3 CLASS ' +
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
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C.
EVAPORATIVE COOLER f.
FURNACE: FAU GRAVITY
FLOOR BTU _ INSPECTION RECORD
-1EATER: SUSPENDED ' UNIT_
WALL t �'
CG�D<
L
H
—CIPS
eck fee 25'/c of above. See reverse. /
PERMIT ISSUING FEE 8 3 00
TOTAL FEF. �.
:HECK APPLICANT
-SS
TEL.NO.
BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
R CONDITIONING.
ROUGH
- BY CERTIFY THAT I AM NOT ACTING IN VIOLATION
? 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
E STATE OF CALIFORNIA. f
i, f/.! a PERMIT VALIDATION CK. M.O. CASH
'TEE_ KJ
CK VALIDATION CK..' M.O. CASH
)R COMPLETE FEE SCHEDULE