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HomeMy Public PortalAbout8853 GARIBALDI AVE_Mechanical__ 76A364e."� °'°'' ""° APPLICATIOX FOR ERRAIT HEATING - VEMTILATIWG - AIR CONDITIOAIIRG COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER, BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BuD1LD N RESS AD3 r�I l V (PRINT OR TYPE ONLY) LOCALITY LE C T NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST CROSS ST. EJB ABSORPTION UNIT,BTU OWNER AIR HANDLING UNIT,CFM MAIL ADDRESS BOILER,BTU CnY TEL NO. COMPRESSOR,BTU CONTRACTOR 5 #J_ W VEto r VENTILATION SYSTEM ADDRESS � I EVAPORATIVE COOLERCITY Q� p TEL NO FURNACE: FAU GR Vn-1' STATE FLOOR BTU LICENSE NO. C.. HEATER: SUSPENDED UNIT- DISTRICT NO. GROUp ZOMeROCESSED BY WALL 4-3 � ~ s� �� INSPECTION RECORD O u O Plan check fee 25% of above. PERM ISSUING FEE$ TOTAL FEE j PLAN CHECK APPLICANT NAME 1 ADDRESS CITY TEL NO. IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING_ HEATING, VENTILATING. AIR CONDITIONING. I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTORS SIGKATURE CHAPTER D, DIVISION 3, OF THE BUSINESS D PROFESSIONAL CODE ROUGH OF THE STATE OF CA FORMA. SIGNATURE , FINAL OF PCRMfTT2 PLAN CHECK VALIDATION CK. U-0. CASH PERMIT VALIDATION CK. M.O. Cl--" 470 c 541 © 1 2.00 m,