HomeMy Public PortalAbout9515 FLAHERTY ST_Mechanical__ r t
76A364C ry I
CE 818 (REV111/78)
is ;VENT1
CA N FOR PERMIT
HEATING TING - AIR CON ONING ti
COUNTY OF LOS ANGELES ' BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
(PRINT OR TYPE ONLY)
LOCALITY �
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST �
ABSORPTION UNIT BTU
OWNER
AIR HANDLING UNIT CFM MAIL
ADDRESS
BOILER BTU 1 CITY T L
COMPRESSOR BTU ``
CONTRACTOR
VENTILATION SYSTEM
I ADDRES
r
EVAPORATIVE COOLER CITYjQ TEL N �^�'
FURNACE FAU GRAVITY STATF LIC
FLOOR BTU ` LICENSE NO CLASS
HEATER SUSPENDED UNIT_ 'APPROVALS DATE INSPECTOR S SIGNATURE
WALL 4
ROUGH �-
FINALO
` u
INSP CT ON RECORD u
Plan check fee 25% of above IV QV fA
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PERMIT ISSUING FEE$ ?
TOTAL FEE QPJ }
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS
CITY TEL NO
;99518A
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL , # 0 0 0 0 4 1
ORDINANCES AND LAWS REGULATING HEATING VENTILATING AIR
CONDITIONING PERMIT VALIDATION2 00' 7
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLAzION OF I 2 O O
CHAPTER SIGN 3 THE BUSINESS AND PROFESSIONAL CODE
OF THE STATE OF IFOR IA 0 0 0 2 / Q Q U
SIGNATURE
OFPERMITTE 0325-80
DISTRICT NO PRO E