HomeMy Public PortalAbout10321 FREER ST_Mechanical__ 76A364E IGE161SAI-9/77 APPLI ATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING ,
COUNTY OF LOS ANGELES
DEPARTMENT OF.COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN' BUILDING
• (PRINT OR TYPE ONLY) ADDRESS /O
LOCALITY a,m Q. e-
p
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST. A�,( e /J
ABSORPTION UNIT,BTU ,
OWNER• - Q ue . ,
AIR HANDLING UNIT,CFM MAIL '
ADDRESS '/03 a- h'/LQ2 ��. - • '
BOILER,BTU CITY_', ti• Le• G, - ` TEL.'NO
COMPRESSOR,BTU
CONTRACTOR
VENTILATION SYSTEM ADDRESS 54 C'r L
EVAPORATIVE COOLER CITY - f �- TEL.'NO.
FURNACE: FAU GRAVITY STATE. mac! / '1 -LIC. I~- 3`C..
FLOOR BTU LICENSE NO. CLASS - 2..ea
HEATER: SUSPEN D UNIT— DISTRICT NO. �OUP ,/ZONE PROC S-ED BV
WALL /U — �✓v 63
-7T–,I t,
CJ INSPECTION RECORD 0
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Plan check fee 25% of above.
PERMIT ISSUING FEE$ Z
TOTAL FEE /7 y
PLAN CHECK APPLICANT '
NAME
ADDRESS
CITY . TEL NO '
IHEREBY 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 CERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE
CHAPTER 9, DIVISION 3; OF THE'BUSINESS AND PROFESSIONAL CODE -
OF THE STATE OF C O NIA
__DD ROUGH
SIGNATURE //! ! ,lk FINAL a --
OFPERMITTE� � r�
PLAN CHECK VALIDATION CK. M-O CASH PERMIT VALIDATION cK M CASH
3 1 2 0"iMY 54-1 0 1 `�.0 0 A Sas