HomeMy Public PortalAbout5615-17 GRACEWOOD AVE_Mechanical__ i
76A3'
CE-6 8(RLJ 678)
PS APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING 1 ^O
(PRINT OR TYPE ONLY) ADDRESS „�(,F' / [�.�f(�
LOCALITY /
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE l
NEAREST
CROSS ST.
ABSORPTION UNIT,BTU
OWNER
AIR HANDLING UNIT,CFM MAIL / ��V✓ O
ADDRESSV-156
BOILER,BTU CITY EL.NO.
COMPRESSOR,BTU CONTRACTOR _^' 'L '��N✓/
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY TEL.NO.
FURNACE: FAU GRAVITY STATE LIC.
.FLOOR-BTU LICENSE NO. CLASS
HEATER: SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
n ROUGH 1,
/
eo Get'-C C/9
Q J FINAL �Z. �' C� 0 0
INSPECTION RlEcoFffi
09
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Plan check fee 25% of above. a
PERMIT ISSUING FEE$ — Z
TOTAL FEE / �•
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS
CITY TEL.NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND 21 49,4A
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR # 4 1
CONDITIONING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF 2 1 Z O O
CHAPTER 9, DIVISI 3, OF THE BUSINESS A ROFE IONAL CODE 3
OF THE STATE CAL ORNIA. 1 Z Q Q U
SIGNATOR _ _ ./�- s
OFPERMIT E J
DISTRICT NO. PROCES D Y
11,24-78
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