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HomeMy Public PortalAbout5429 GOLDEN WEST AVE_Mechanical__ i� 76A364E(CE-818A)-9/77 APPLICATION FOR PERMIT � I HEATING - VENTILATING - AIR CONDITIONING Cat 'i't lr��: ' ty Lie. �2gf32 C UNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER " BUILDING AND SAFETY DIVISION , , FOR APPLICANT TO FILL IN BUILDING �j�_r �y �� i ��yL (PRINT OR TYPE ONLY) ADDRESS ,J'� 7 L 6 LOCALITY Te aty NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST CROSS ST, ABSORPTION UNIT,BTU ��„„,�� OWNER cleo 8 i'er-,—.ind AIR HANDLING UNIT,CFM MAIL ADDRESS 11/a�.,.��,..�,��aa omic BOILER, BTU +� CITY Azvndin TEL.NO. ,eCOMPRESSOR, BTU L�,--���'�C)o 1 00 CONTRACTOFBM.YC35 'Itg lr.,..,,& 475 VENTILATION SYSTEM ADDRESS 712 No Loren EVAPORATIVE COOLER CITY kzusa TEL.NO. 732 FURNACE: FAU_GR I Yqp�— r� - STATELIC. .7� 3 FLOOR BTU G � v5 LICENSE NO.257V3 CLASS 'x"`20 HEATER: SUSPENDED UNIT— DISTRICTNO. GROUP ZONE PROCESSED BY WALL O INSPECTION RECORD Lu cu Plan check fee 25% of above. PERMIT ISSUING FEE$ O a TOTAL FEE 00 UJI~- PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.NO. I HEREBY ACKNOWLEDGE THAT I 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 INSPECTOR'S SIGNATURE CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE I� ROUGH OF THE STATE OF CALIFORNIA. SIGNATURE FINAL OF PERMITTEE 4 PERMIT V� IDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M O CASH e, ©: