HomeMy Public PortalAbout10607 FAIRHALL ST_Mechanical__ 6. A3p4'% CE 818 - 9-71 ` 1 �
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
MXR AD
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY :TENO.
ABSORPTION UNIT, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU
CITY - O.
' COMPRESSOR, BTU_� STATE LIC.
Q_CLICENSE NO. � CLASS C-
VENTILATION SYSTEM LDDIISTRICT NO. GROUP 70NE PROCESSED BY
EVAPORATIVE COOLER +'O�
FURNACE: FAUGPAVITY
1 Q INSPECTION RECORD
FLOOR BTU_�L77
HEATER: SUSPENDED UNIT_ o
I--
WALL w
a.
Cn
Z
Plan check fee 2570 of above. See reverse.
PERMIT ISSUING FEE S 3 Oo
TOTAL FEE `
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, VENTI- APPROVALS DATE INS CTOR'S ATURE
LATING, AIR CONDITIONING. -
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL_ FINAL
CODE OF THE STATE OF CALIFORNIA.. 'Je
SIGNATURE ' PERMIT VALIDATION CK. M.O. CASH
OF PERMITTEE-U-) J_ .
PLAN CHECK VALIDATION CK. M.O. CASH
12 4 1 0 1 3.0-0.N
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ,