HomeMy Public PortalAbout5311 FRATUS DR_Mechanical__ 76 A364 - CE 8;8 - 9-71 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADII—Di% � J s
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS�,Jf
CIT E O
ABSORPTION UNIT, BTU
CONTRALTO -
AIR HANDLING UNIT, CFM {
ADDRESS,5�717r /
BOILER, BTU
t CIT EL NO
/ COMPRESSOR, BTU STATE -� LIC
LICENSE NO
VENTILATION SYSTEM DISTRICT NO GROUP PROC SED BY
EVAPORATIVE COOLER �v a
FURNACE FAU_GRAVITY p INSPECTION RECORD U
FLOOR BTU ��� 99
ce
HEATER SUSPENDED UNIT_ o
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ALL
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Plan check fee 257. of above See reverse
PER1NIIT ISSUING FEE S 3 00
TOTAL FEE
PLAN CHECK APPLICANT
NAME r
ADDRESS
CITY TEL NO
LLATING
BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE 1 PE OR'S SIGNATURE
IR CONDITIONING
ROUGHEBY CERTIFY THAT I AM NOT ACTIN IN VIOLATIONER 9, DIVISION 3, OF THE' USINESSPR ESSIO LFINAL
THE STATE C IF
URE PERMIT VALIDATION cK M o CASH
MITTE
PLAN CHECK VALIDATION CK M o CASH
Q 9, 8=813 f4AY '7 4 1 D 1 5.5 0-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE