HomeMy Public PortalAbout6204 ENCINITA AVE_Mechanical__ 'G"'G"E E 81 BA) ""s APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEER.
BUILDING AND SAFETYDIVISION
FOR APPLICANT TO FILL IN BUILDING /
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY
NO. TYPE OF APPLIANCE'OR EpUIPM ENT FEE
NEAREST
+ CROSS ST.
ABSORPTION UNIT;BTU
OWNER
AIR HANDLING UNIT.CFM MAIL
ADDRESS
BOILER,BTU
- CITV . . TEL N0.
COMPRESSOR.BTU CONTRACTOR �f U J
VENTILATION SYSTEM _ ADDRESS
EVAP CURATIVE COOLERCITY. L.NO'jG I_JJ 5
FURNACE: FAU_GRAM ITY STATE �6 LIC.
FLOOR BTU LICENSE NO. CLASS
HEATER: SUSPENDISTRICT NO. GROUP zoNE PROCESSED BY
WALL /JCT// //T.L,✓ �._U6
INSPECTION RECORD c
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Plan check fee 25% of above. - W
PERMIT ISSUING FEE$ -0 Z
TOTAL FEE 3y >'
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO. ,
I HEREBY 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.
1 HEREBY CERTIFY THAT 1 AM NOT ACTING,IN VIOLATION OF .APPROVALS DATE INSPECTOR.5 SIGNATURE
CHAPTER'9,"DIVISION 3. OF THE BUSINESS AND PROFE55IONAL CODE ROUGH'
OF THE STATE OF CALIF
SIGNATURE C FINAL
OF PERM ITTE
PLAN CHECK VALIDATION. CK. in.o. CASH PERMIT VALIDATIONCK. M,o. CASH
007AUG . 541 D 34.5Q. " a