HomeMy Public PortalAbout5027 FRATUS DR_Mechanical__ 76A164EaCE�818A) 9/77
APPLICATION FOR PffRNIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
- BUILDING AND SAFETY DIVISION
FOR'APPLICANTTO FILL IN BUILDING 56,,Z71-3
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY k_,L
r NO TYPE OF APPLIANCE OR EQUIPMENT FEE.
NEAREST
CROSS ST
ABSORPTION UNIT BTU '
a OWNER
AIR HANDLING UNIT CFM MAIL
ADDRESS
BOILER BTU CITY �r; qF ;ry��/ TEL NO
COMPRESSOR BTU CONTRACTO
VENTILATION SYSTEM ADDRESS W n�
EVAPORATIVE COOLER CITY f TEL NO
FURNACE FAU_GRAVITY STATELIC
LICENSE NO q-2--z-:3-7 CLASS C
u FLOOR BTU
TER SUSPENDED UNIT— DISTRICT NO GROUP 20NE PROCESSE/D//gpJ
WALL q- 08 08
INSPECTION RECORD
GC�7 l U S, v
as
0
Plan check fee 25% of above
PERMIT ISSUING FEE$
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 VENTILATING AIR
CONDITIONING
I HEREBY C(ALIFOR
THAT I A NOT A ING IN VIOLATION OF APPROVALS DATE SPECTOR S SIGNATURE
CHAPTER 9 DIVISQ B ESS D PROFESSIONAL CODE
OF THE STATE OFN,�A ROUGH 17
SIGNATURE FINAL-
OF PERM ITTE
PLAN CHECK VALIDATION M o CASH PERMIT VALIDATION n1 o CASH
cK
( 7,0r.AL 14,4-1 D 2 7.0b,' fl56