HomeMy Public PortalAbout8751 GARIBALDI AVE_Mechanical__ 76 A364 -,Cr. 518 9-71 APPLICATION FOR
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FAR
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION Y
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) MAIL ,
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 57^5
ABSORPTION UNIT, BTU "``����7777 �. � ' ��•-}i. D i iJE
CITY Gy a-� TEL. NO.2 oZ
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU CITY TEL. NO.
COMPRESSOR, BTU STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE ��IIIEI BY
EVAPORATIVE COOLER p}
FURNACE: FAUGRAVITY INSPECTION RECORD v
FLOOR BTU Ci=
HEATER: SUSPENDED UNIT_ v
WALL w
d
Z
Plan check fee 25'c of above. See reverse.
PERNIIT ISSUING ['EJ] S a 00
TOTAI, FI?E
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCESAND LAWS REGULATING HEATING, VENTI- APPROVALS DATE I PECT R' SIGNATURE
LATING, AIR CONDITIONING.
ROUGH
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER9, DIVISION 3 OF THE BUSIN SS AND PROFESSIONAL FINAL
CODE OF THE STATE OF IFORNI A.
SIGNATURE PERMIT VALIDATIO CK. M.q. CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK, 'A.0. CASH
923OCT 1D 8.00NV
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE