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Home My Public Portal About6233 GOLDEN WEST AVE_Mechanical__ 76 A364-'CE 818- 5-73 _- - • Ad LICA ION F R PERMIT HEA NG '- ENTILATING - AIR CONOIT ING Af COUNTY OF LOS ANGELES' [NEAREST DDRESS �. DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION CALITY fV OSS SFOR APPLICANT TO FILLINER (PRINT OR TYPE ONLY) ' MAI L NO. TYPEOFAPPLIANCE OR EQUIPMENT FEE ADDRESS CITY - TEL,`NO. ABSORPTION UNIT, BTU _ CONTRACTOR AIR,HANDLING UNIT, CFM ' AD RES - ` BOILER, BTU• CITY . STEL. NO.` 0. COMPRESSOR, BTU" STATE �C LIC. LICENSE NO. CLASS .VENTILATION SYSTEM: DISTRICT NO: GROUP• ZONE PROLE ED BY EVAPORATIVE COOLER . —dU �~ � FURNACE: FAU • GR Y ©� INSPECTION RECORD FLOOR BU HEATER: SUSPENDED UNIT= ; WALL . off.. U O U In Plan check fee 25% of above. See reverse. - Z PERMIT ISSUING FEE 8 s 00,- TOTAL 0,TOTAL FEE PLAN-CHECK APPLICANT ' NAME R ADDRESS CITY TEL.N0. „ r 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; VENTI- APPROVALS DATEINSPECTOR'S SIGNATURE, LATING, AIR CONDITIONING ROUGH I HEREBY CERTIFY THAT. I AM NOT ACTING IN VIOLATION OF CHAPTER'9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL CODE OF THE STATE CAU NIA x SIGNATURE [ � PERMIT VAL;JD4T�qN# CK. M O. CASH' OF PERMIT ^ _ SS) hb M PLAN CHECK CK,VALIDATION' • ' i .O. CASH e O C,*1 fV tV • :p ; +p - s . D o CH SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE '