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HomeMy Public PortalAbout10732 GRAND AVE_Mechanical__ 76A364C CE-8181REv.6/78) ©s APPLICATION FOR PERMIT HEATING — VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS { ADDRESS (/73 V (PRINT OR TYPE ONLY) LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE G NEAREST CROSS ST. ABSORPTION UNIT,BTUr OWNER. 1y) f J AIR HANDLING UNIT,CFM MAIL ADDRESS BOILER,BTU U ��� CITY TEL.NO. 9- COMPRESSOR,BTU CONTRACTOR VENTILATION SYSTEM ADDRESS EVAPORATIVE COOLER CITY TEL.NO. FURNACE: FAU GRAVITY STATE LIC. FLOOR BTU LICENSE NO. CLASS HEATER: SUSPENDED UNIT_ APPROVALS DATE INSPECTORL�,&IGNATURE WALL ROUGH FINAL { 0 INSPE I RE c V 09 0 F� t! Plan check fee 25% of above. LIM CL PERMIT ISSUING FEE$ z TOTAL FEE ,.,2 m PLAN CHECK APPLICANT PLAN CHECK VALIDATION NAME m� E, {� i ADDRESS 1, CITY--I'i , t_ QI TEL.NO.6 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. PERMIT VALIDATION I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE 0 3 6.3 A OF THE STATE CALIFORNIA. SIGNATURE J� ,{((A' F PERM ITTEE _ 15� # • • • • 4 1 DISTRICT NO. p PR SSED • * 27.00 r]7OO Cj • • • 27,00 �'_Zmac,-7r