HomeMy Public PortalAbout10240 FREER ST_Mechanical__ 76 ;364 - CE 818-I/75 ,
APPLIC'ATI "FOR PER
HEATING �-
- VENTILATING - AIR- CONDITIONING
' COUNTY OF, LOS ANGELES BUILDING'
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY l�fyl�LE Cf?
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)'s
MAIL
NO TYPE&SIZE OF.EQUIPMENTFEE ADDRESS
SEE BACK OF APPLICATION
djDD�y
FORCE AIR FURNACE, BTU CITY TEL NO�,, � -
CONTRACTOR
•�C
f COMPRESSOR, BTU
ADDRESS / c����J •a
VENTILATION FAN CITY TEL NO
LIST ALL OTHERS BELOW STATE p� LIC
LICENSE NO. 20% Z7 CLASS'_
DISTRICT-NO GROUP ZONE PROCESSED BY ,
INSPECTION RECORD
n.
6: O
O
V
0-
Plan check fee. See reverse z
1,1,It NI Il_�1ti51+1Nc, FI,1 •C
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 VENTI- 'APPROVALS DATE INSPECTOR'S SIGNATURE
LATING AIR CONDITIONING _
ROUGH "
yl_ HEREBY CERTIFY THAT I- AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE USINESS AND PROFESSIONAL FINAL,
CODE OF THE STATE OF CALIF r
SIGNATURE - - PERMIT VALIDATION CK M O QH
OF PERMITTEE
PLAN CHECK WATTATION CK M 0 CASH 'Q``
�/c ; 1 ..1
'28 12 5`_A98
;