HomeMy Public PortalAbout4825 FIESTA AVE_Mechanical__ 76A364C M '1
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CE 818 (REV 11/78)
®S APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIPNING�
COUNTY OF LOS ANGELES ----)BUILDING AND'SAFETY�,-,---,_,
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) '-- - ADDRESS
LOCALITY � � � �� �� i A
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST I
ABSORPTION UNIT BTU w t
OWNER
AIR HANDLING UNIT CFM MAIL
ADDRESS I� C.y
BOILER BTU CITY /�p TEL NO
COMPRESSOR BTU CONTRACTOR
VENTILATION SYSTEM ADDRESS /
EVAPORATIVE COOLERTEL N
CITO �`V
FURNACE FAU GRAVITY STATE LIC
FLOOR BTU LICENSE NO CLASSG_
9
HEATER SUSPENDED UNIT_ APPROVALS DATE INSPECTOR S SIGNATURE
WALL
ROUGH >.
FINAL �� C
INSPECTION RECORD OC
O
Plan check fee 25% of above 1A
PERMIT ISSUING FEE$ Z
TOTAL FEE
PLAN CHECK APPLICANT P HrmCK VAL ATION
NAME
ADDRESS s L
' - ;R'6085A
CITY t TEL NO I
1 HEREBY ACKNOWLEDGE THAT I HAVE READ APPLICATION AND # O O CO IO /j 1
STATE THAT THE ABOVE IS CORRECT AN G E TO PLY WITH ALL
ORDINANCES AND LAWS REGULATI ATING TILATING AIR 2,o o 23 0 0
CONDITIONING PERMIT VALIDATION io o 0 2 7 0 0 c5
I HEREBY CERTIF A ACTT VIOLATION�F
CHAPTER
A S HE SAN ESSIONAL CODE
OFT ESTE OF CALIFIA 0 C1 O 1 Z�J-17 n p
SIGNAT + T
OF PER
DISTRICT NOc�, / PROCESSED BY