HomeMy Public PortalAbout4947 GOLDEN WEST AVE_Mechanical__ Y
7&4-4640
CE-818 (REV.11/78)
e. APPLRATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGMES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS
LOCAL C
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST. c`
Q
ABSORPTION UNIT,BTU CROSS ST
OWNER �C
AIR HANDLING UNIT,CFM MAIL
ADDRESS Lu
BOILER,BTU CRY TEL NO.7� r
COMPRESSOR,BTU CONTRACT -C J
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CRY TEL NO.
FURNACE•:: FAU GRAVrY STATE LIC.
FLOOR BTU LICENSE NO. CLASS
HEATER: SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S WGNATURE
WA �U
ROUGH 10-3- t
FINAL lopO
U
INSPECTION RECoF& Cu
O
Plan check fee 25% of above.
PERMIT ISSUING FEE$
TOTAL FEE 1 / 710-0
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS
CnY TEL NO. Q8 /�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND -968 -29 n
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH A11
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR # o o 0 o 4 1
CONDITIONING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM NOT ACTING IN IOLAT1ON OF ,2 o o 1 /�7
.O 0
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROF OVAL CODE
OF THE STATE OF CAUFOR o o.a 1 7 Q 0 H
SIGNATURE
OF PERMITTEE 09,24-79
DISTRJCT NO. d PROC BY