HomeMy Public PortalAbout6160 ENCINITA AVE_Mechanical__ ' n76A364EICE 61BA)- 11/76 APPLICATION PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS •r
LOCALITY ,tea ' e
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
- CROSS ST.
ABSORPTION UNIT,BTU � -
OWNER � �
AIR HANDLING UNIT,CFM MAIL-
ADDRESS '
BOILER,BTU Is �Y CITY TEL.NO.
COMPRESSOR.BTU �Y L/— -
I— 7 Q CONTRACTOR
VENTILATION SYSTEM _ ADDRESS. •� II�.I "��P .t jf�
EVAPORATIVE COOLER CITY — r te TEL.N033�(.;_�3a
FAU
FURNACE: GRAVITY STATE /1 j-� LIC.
FLOOR BTU '. LICENSE NO. {.� � ( CLASS �0
HEATER: SUSPENDED_UNIT_ DISTRICT NO. GROUP ZONE PaOc "D BY
WALL S• UAV `L I .r
r
INSPECTION RECORD �'
O
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Plan check fee 25% of above, W
d
PERMIT ISSUING FEE$ '1) Z
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS -
CITY TEL.NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL .
ORDINANCES AND LAWS REGULATING HEATING. VENTILATING, AIR
CONDITIONING,
I HEREBY CERT( THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE
CHAPTER 9, DIV15 OF THE BUSINES AN PROFESSIONAL CODE
OF THE STATE FORNIA. ROUGH
SIG TUR / FINAL
OF PENN F-
PLA CHECK VALIDATION CK. M.D. .•CASH, PERMIT VALIDATION cK. m.o. cases
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