Loading...
HomeMy Public PortalAbout6046 GOLDEN WEST AVE_Mechanical__ 76A364C CE-818 (REV'I 1/78) N or "A APPLICATION' OR PERMIT _. w HEATING - VENTILATING =.AIR''CONDITIONING COUNTY OF LOS`AkGELES BUILDING'AND SAFETY 3 ' .'FOR APPLICANT'TO FILL IN BUILDINcI / y'• (PRINT OR TYPE ONLY)' ADDRESS �—y ., . 'LOCALITY, ?./• ��°- N0,, TYPEOF APPLIANCE OR EQUIPMENT +a�` FEE _ - NEAREST - - -a ,CROSS ST 'ABSORPTION UNIT,BTU ' OWNER" AIR`HAN,DLING"UNIT,CFM- - MAIL - _ _ • �• ADD' TRE.SS BOILER,BU - �+ CITY . ,. - ;, TEL' N 15_ - COMPRESSOR;BTU y CONTRACTOR, &S Ty c . 'VENT' ILATION SYSTEM ' y - ADDRESS , EVAPORATIVE.COOLER - CITY - •+ TEL NO 1 FURNACE FAU 4 GRAVITY STATE - �j� 'LIC } FLOOR 'BTU LICENSE'NO �JCJ- - CLASS - a HEATER SUSPENDED 'UNIT_ ,AppROVALS DATE INSPECTOR SSIG NATURE u WALL ROUGH. - O . r , FINAL �� W INSPECTION RECORD a ` Plan•check fee'25% of above -, PERMIT ISSUING FEE$ ti % TOTAL,FEE' ' PLAN CHECK APPLICANT PLAN-CHECK VALIDATION_ , NAME- ADDRESS ,,'r e• .-�- - ,r• ' CITYt . • - TEL NO', ° -1-HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND 'STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY-WITH ALL ORDINANCES,AND `LAWS 'RCGULATING HEATING, VENTILATING„AIR ='M •t , CONDITIONING 4 y PERMIT VALIDATION . 2 A'' �I HEREBY CERTIFY-THAT I`'AM'.,NOT ACTING IN VIOLATION OF CHAPTER,9,-DIVISION 3' THE BUSINESS'A PROFESSIO CODE, , # 0oI0 O OFTHE STATE{OF CALIVORNIT4 SIGNATURE OF PERMITTEE •• '�i 2 �'2 7,0 0 DISTRICT NO I y PROCESSED BY y . Y 'O O`0 2 !:0 0 U .• L 0 0,5 2 2,=8 0 ��