HomeMy Public PortalAbout10770 GRAND AVE_Mechanical__ 76A364C
CE_BIB(REV.6/78)
p APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN [MAIL
UILDING
1077
(PRINT OR TYPE ONLY) DDRESS
OCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
EARES
ROSS ST.
ABSORPTION UNIT,BTU
WNER
AIR HANDLING UNIT,CFM
ADDRESS
BOILER,BTU CITY TEL.NO.
COMPRESSOR,BTU CONTRACTOR /
VENTILATION SYSTEM A D D R E S
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EVAPORATIVE COOLERill,, CITY TEL.
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FURNACE: FAU G Y STATE LIC. //�� /�
FLOOR BTU L� LICENSE NO. CLASSIC 2—e
HEATER: SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
ROUGH
FINAL x�, �,..w - t\�?f!�: .1�"
INSPECTION RECORD V
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Plan check fee 25% of above.
PERMIT ISSUING FEE Z
TOTAL FEE �
PLAN CHECK APPLICANT PLAN CHECK VALIDATION 771
NAME
ADDRESS
CITY TEL.NO. n
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND O ~
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL y9n/
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR •• ' V
CONDITIONING. PERMIT VALIDATION • 4• 7_n�.y0._
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF O �d O / YU
CHAPTER 9, DIVISION 3, (af THE BUSINESS AND PROFESSIQNAL CODE
OF THE STATE Oj CALIF IA.
SIGNATURE
OF PERMITTEE
DISTRICT NO. PROGESSPp BY