HomeMy Public PortalAbout5327 FRATUS DR_Mechanical__ 76A364C
CE 818(REV 6/78) '
os APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING _
COUNTY OF LOS ANGELES BUILDING'AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
(PRINT OR TYPE ONLY)
' LOCALITY
NO TYPE OF APPLIANCE OR EOUIPME T L FEE ,
NEAREST
" CROSS ST ,
ABSORPTION UNIT BTU
OWNER
1 AIR HANDLING UNIT CFM MAIL
ADDRESS
BOILER BTU . CITY `4 TEL NO
COMPRESSOR BTU` CONTRACTOR
o '
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY / TEL N
FURNACE FAU GRAVITY STATE tLL� LIC
FLOOR BTU LICENSE NO CLASS
HEATER SUSPENDED UNIT_ APPROVALS _ DATE INSPECT SSIGN URE
WALL
ROUGH '—
FINAL 0
INSPECTION RECORDag
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Plan check fee 25% of above r 9
PERMIT ISSUING FEE$ — ! , z
TOTAL FEE a
PLAN CHECK APPLICANT - PLAN CHECK VALIDATION
NAME
ADDRE
CITY t TEL NO /
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
SS
_ -
STATE THAT THE ABOVE IS CORRECT AND'AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING VENTkATING AIR 2,5 7& 1 A
CONDITIONING PERMIT VALIDATION '
I REBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF '# o o(o o ((, 1
CHAPTE WISI0N F THE BUSINESS AND PROFESSIONAL CODE
OF THE STATE CALIFOR I - / \ Z 2'7.0 O
SIGNATOR ( �]� Jam.. t
OF PERM ITT `],[J _ "
C o 027,006)
DISTRICT NO PROCESSED
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OS 0'7,27