HomeMy Public PortalAbout8741 GARIBALDI AVE_Mechanical__ T
wee Aee4r C 81 L Baa ' APPLICATION FOR PERMIT
HEATFNG - VENTILATING - AIR CONDITIONING �� -
COUNTY OF LOS ANGELESBUILDING
8741 -RAT.T)T
DEPARTMENT OF COUNTY ENGINEER ADDRESS
QIART
BUILDING AND SAFETY DIVISION LOCALITY SAN GABR='
]NEAREST
GROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL ABO
NO. YPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS
VE
CITY L NO.
ABSORPTION UNIT, BTU RAN P-A-RRT-W
CONTRACTOR rIFLAM HCC
AIR HANDLING UNIT, CFM
ADDRESS 2o34 N PECK RD
BOILER, BTU CITY C, NO.
MOVFf
COMPRESSOR, BTU ATE LIC.
LICENSE NO. 26509 CLASS Cr20. .
VENTILATION SYSTEM DISTRICT NO. GROUP NE EGGED BY
EVAPORATIVE OOL ~ `
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FURNACE: FA TY INSPECTION RECORD
FLOOR BT
HEATER: SUSPENDED UNIT_
WALL
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Plan check fee 2576 of above. See reverse, z
PERMIT ISSUING FEE S
TOTAL FEE
PLAN CHECK APPLICANTAl A2
NAME
ADDRESS
CITY TEL.NO.
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HATING, VEMTI- APPROVALS DAT[ U4SP1CTO1W3 SIGNATURE
LATINS, AIR CONDITIONING.
RD UG H
I H[R[BY CERTIFY THAT I AM' NOT ACTING IM VIOLATION
OF CHAPTER G, DIVISION4tw
USINEse AND PROFESSIONAL FINAL
COD[ OF THE DT E OF
SICINAT URE ` PERMIT VALIDATION CK•" `M.0. CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK. M.O. CASH
9'37 A .30.4.1 D- 2225
SEE BACK OF APP L)CAT K)M FDR COAT PL.rr!FEE 8CH1DU LE V t •�