HomeMy Public PortalAbout10325 FREER ST_Mechanical__ 76 J�364,y-,yG; 818 - 9-71 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING �/ I'
DEPARTMENT OF COUNTY ENGINEER ADDRESS D �; nE—�
BUILDING AND SAFETY DIVISION LOCALIT
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) '
MAIL
NO. TYPEOFAPPLIANCE OR EQUIPMENT FEE ADDRESS �� �
ABSORPTION UNIT, BTU C//T CITY, s EL. NO.CONTRACTOR ,( '3-
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a �GGy�
AIR HANDLING UNIT, CFM ADDRES ���, �
BOILER, BTU .>
CITY TEL. O�
COMPRESSOR, BTU STATELIC.
LICENSE NO f CLASS &- .;2
VENTILATION SYSTEM ` DISTRICT NOO..? GROUP ZONE> PROCESSED BY
EVAPORATIVE COO ER
FURNACE: FAU GRAVITY
FLOOR-BTU//Aft , S� INSPEC ION RECORD
HEATER: SUSPENDED UNIT_ o
WALL 7 C-3
w
a
' Z
f, -
Plan check fee 25% of above. See reverse.
PERM11' ISSUING FEE; S 3 00
TOTAL FEE l Zv
PLAN CHECK APPLICANT V
NAME
ADDRESS D ( /7
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, VENT]- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING
ROUGH
I HEREBY CERTIFY ,THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISI F 3, THE BUSINESS AND PROFESSIONAL 7
CODE OF THE STATE F AL RNI FINAL 373 ,
SIGNATURE
PE ALIDATION cK. M.O. CASH
OF PERMITTEE '
f
PLAN CH K VALIDATION CK. M.0. CASH t0�
v
. =5 8 9 3 NOV 2 8 4 1 D 1 5 .5 0 A v
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE