HomeMy Public PortalAbout5007 GOLDEN WEST AVE_Mechanical__ 7&X344C
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m> A 1 TIO OR PERMIT
HEATING - VENTILATI G - AIR CONDI IONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING ,
ADDRESS
(PRINT OR TYPE ONLY)
LOCALITY
r�O. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST.
ABSORPTION UNIT,BTU ' T�
OWNER .J
AIR HANDLING UNIT,CFM MAIL ��++��77,,,,��
ADDRESS �Y'SL'E '
BOILER,BTU
crrY �r�E�� �T�y+ TEL Nb.286-4584
COMPRESSOR,BTU CONTRACTOR 12�t�M HCC
VENTILATION SYSTEM ADDRESS 2034 N. = 10,
EVAPORATIVE COOLER Cnl' S EL M= TEL NO,579-7982
FURNACE: FAU X GRAVrrY STATE LIC.
FLOOR BTU Inn cein I fj LICENSE NO. CLASS
HEATER: SUSPENDED UNIT_ APPROVALS DATE I MSPECTOWS SIGNATURE
WAIT
ROUGH
FINAL - � r
INSPECTION RECORD V
Plan check fee 25% of above.
PERMIT ISSUING FEE$ 7 _
TOTAL FEE .27. 00
PLAN CHECK APPLICANT PLAN CHECK VAL.1pATION
NAME
ADDRESS
CrrY TEL NO. j?97B4A
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE LS CORRECT AND AGREE TO COYPLY WITH ALL 0 0 0 0 4 1
ORDINANCES AND LAWS REGULATING H NG, VENTILATING, AIR
CONDITIONING. PERMIT VALIDATION 2 - - 2700
I.HEREBY CERTIFY AT I T Tl IN VIOLATIO
CHAPTER 9 BNISION !, E ROFESSIDN E o 0 0 2,7, 0 0
OF THE STATE OF CALIF
SIGNATURE, 0409 -80
OP PERMTTTeE
DLSTRICf NO-
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