HomeMy Public PortalAbout10717 FREER ST_Mechanical__ ,117
76 A36-4 - CE 818 - 9-71
L •• HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FEAREST
'��I LrE�
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION Y '�r�
_
.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) ��
MAILyt-
No. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS
CITY TEL. O. 16
ABSORPTION UNIT, BTU
000
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU CITY EL.��TEL. NO. 83.1
COMPRESSOR, BTU STATE LIC. /
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER `y,+,� os--
y FURNACE: FAU / GRAVITY
i FLOOR BTU�°Gy(-O �ryQ INSPECTION RECORD
HEATER: -SUSPENDED-UNIT-
WALL
SUSPENDED UNIT_WALL C.-7)
w
Plan check fee 257. of above. See reverse.
`PERMIT ISSUING FEE $ 3 00
TOTAL EEE y16
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, VENT'- APPROVALS D TE INS CTOR'S SIG ATURE
LATING, AIR CONDITIONING
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINES AND PROFESSIONAL FINAL
CODE OF THE STATE OF LIFORNIA.
SIGNATURE 100jrPERMIT VAPDATION CK. M.O. CASH
OF PE RMI T T E
PLAN CHECK VAL TI K. M.O. CASH
VV
ice . t, 4, ,N OGT 2 4 1 D 8.0 O N a
;E BACK OF APPLICATION FOR COM PLETE FEE SCHEDULE