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HomeMy Public PortalAbout5432 GOLDEN WEST AVE_Mechanical__ 76A364C CE-818 IREV 6/781h .,p - - ' ••' ' ' - " ©5 APPLICATION, FOR PERMIT HEATING VENTILATING f, AIR CONDITIONING. 1 COUNTY 611`465ANGELES' BUILDING AND SAFETY, ' 3' FOR APPLICANT TO FILL IN 'IBUILDING t ,(PRINT OR TYPE ONLY) - - ADDRESS LOCALITY �• - w NO• TYPCOF APPLIANCE OR EQUIPMENT' FEE - ` NEAREST -� CROSS ST ` ABSORPTION UNIT,BTU - r _ OWNER _ - - AIR HANDLING UNIT„CFM ° MAIL �. '• - a; ,ADDRESS , BOILER,BTU •CITY` •7 y _ I `C6MPRESSOR,BTU - CONTRACTOR VENTILATION SYSTEM `C ADORES '. EVAPORATIVE COOLER• - • CITY TEL .. FURNACE' FAU GRAVITY STATE LIC •” FLOOR BTU - LICENSE NO� CLASS - HEATER SUSPENDED UNIT_ - ,APPROVALS, DATE' INSPECTOR SSIGNATURE WALL . - ROUGH FINAL P m. INSPE ECTION RCORD". r 6 _ Plan check fee 25% of above' PERMIT ISSUING FEE Z- r •-TOTAL,FEE _ PLAN CHECK APPLICANT PLAN CHECK VALIDATION NAME' - s ADDRESS :r .• - _ r CITY • TEL NO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION_AND �,•: '- .tl 2 717 2.7•'A,--}M - STATE THAT THE,ABOVE IS CORRECT AND AGREE=TO COMPLY WITH ALL t"-i•, ,. _ - , ORDINANCES AND LAWS• REGULATING 'HEATING,"VENTILATING,, AIR I - # o o(o o,[�,h1,'„ CONDITIONING ;', ' PERMIT VALIDATION, I HEREBY 'CERTIFY THAT I AM NOTr ACTING IN VIOLATION OF, { '" ' CHAPTER 9; DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE o.2,7, O O OF THE STATE - - '_ rs ' ,SIGN'ATURE , i 10 �.os27.���- ' OF PERMITTE �' 7.9,' DISTRICT NO P,ROC ED - 76 A364-- CE 8,18 -1/75 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING City of T+eAvle €1ty COUNTY OF LOS ANGELES BUILDING , DEPARTMENT OF COUNTY ENGINEER ADDRESS a BUILDING AND SAFETY DIVISION LOCALITYTORAO' City NEAREST CROSS ST. FOR APPLICANT TO FILL IN OWNER /y (PRINT OR TYPE ONLY) M,0 42 NO TYPE&SIZE OF EQUIPMENT _ FSE ADDRESS MAIL � .5 �� i"o SEE BACK OF APPLICATION T CITY TEL. NO. RCEAIR FURNACE, BTUj:Co0MIRESSOR, BTU T✓�f� �•Vf CONTRACTOR • Y Il �- ADDRESS 12 No loosen VENTILATION FAN CITY AmUft TEL. NO. 0 T-6732 LIST ALL OTHERS BELOW STATE 257573 LIC. 3.20) NO. CLASS DISTRICT NO. GROUP ZONE PROCESSED 8Y d INSPECTION RECORD O U W _ J } ' !r Q O Plan check fee. See reverse. _ Iw- I PP:It111 f I��l 1\(: FF:I; 73 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; VENII- APPROVALS DATE INSPECTOR'S SIGNATURE LATING. AIR CONDITIONING, ROUGH IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION - OF CH ARTIER-9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL CODE OF THE STATE OF CALIFORNIA. SIGNATURE PERMIT VAI IDAYM CK. OF PERMITTEE PLAN CHECK VALIDATION K. V1.0. CASH i 1 - i • :.r I