HomeMy Public PortalAbout10731 FREER ST_Mechanical__ 76 A364,,CE 818-1/75 {,�`s""' / •Y J
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES rNEAREST
DRESS (J ��
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION AR 14VOSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR•TYPE ONLY)
MAIL
NO TYPE&SIZE OF EQUIPMENT FEE ADDRESS
SEE BACK OF APPLICATION -
CITY TEL. NO. t-13 -7b
FORCE AIR FURNACE, BTU
CONTRACTOR
COMPRESSOR, BTU B
ADDRESS
VENTILATION FAN CITY TEL.'NO.'
IST ALL OT ERS BELOW STATE LIG -�
LICENSE NO. CLASS ^• ,
DIST ICT NO. UP
UP ZONEQJSED BY
INSPECTION RECORD
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Plan check fee. See reverse. z
11%-1IT ISSI;I\G 1'I,;E S, 40
PLAN CHECK APP CA
NAME
ADDRESS SQLQ 1fJ f
CITY TEL NO. S—(Z�p
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 INSPEC Of'S SIGNATURE
LATING, AIR CONDI
ROUGH
I HEREBY CER 7IFY THAT 1 AM N ACTING IN VIOLATION
OF CHAPTER 9, (VISION 3, OF THE B 1 S AND PROFESSIONAL FINAL -
CODE OF THE STA OF CALIFORNIA
SIGNATURE PERMIT VALIDATION cK. M.D. cnsH
OF PERMITTEE -
PLAN 'CHECK •VALIDATION' CK. M.0 CASH
� s5EZ 341 1 �5.75 � -a
76 A364 - CE 818 -1(75
:APPL•ICA OWFOR P MIT
HEATING - VENTILATING - AIR CONDITIONING �.
COUNTY OF 'LOS ANGELES ADDRESS /��G1� Je'
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER �(( 'yA��L
(PRINT OR TYPE ONLY) iV� •- o
MAIL
NO TYPE&S12E OF EQUIPMENT• FEE ADDRESS
SEE BACK OF APPLICATION ,
CITY /�� TEL. NO. 7
FORCE AIR FURNACE, BTU
CONTRACTOR
COMPRESSOR, BTU ADDRESS - �
+� t,4-5-&i:1 4-5
VENTILATION FAN
CITY N TEL. NO -,5,).
LIST ALL OTHERS BELOW, STATE
LICENSE NO.' 7 CLASS �J
�i ISTRICT NO.p OUP ZONE CESSED BY
INSPECTION RECORD
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W
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Plan check fee. See reverse. z
I'I:;1i�91'f ISSItIVC h'•I';h; �- �✓
I'O"ITA1, 1-1:1-.'
PLAN CHECK APPLICANT
NAME
ADDRESS
CI TY 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, VEN11- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3.'OF THE BUSINESS AND PROFESSIONAL FINAL �'�
CODE OF THE STATE OF CALIFO N A. -
SIGNATURE (1. �„ - �y,.,� PERMIT VALIDATION CK' M.O. CASH
OF PERMITTE
PLAN CHECK VALIDATION CK. M.O CASH
269`0 2041 U 1 5.75A,