HomeMy Public PortalAbout10242 GREEN ST_Mechanical__ z
-'M36..ICE-8IRA)-9/77 APPLICATION FOR PERMIT
HEATING - RTILATING - AIR CONDITIONING
cou OF LOS ANG s
DEPARTM OF COUNTY NG[NEER
BUILDING AND 8AFETY DIVISION
FOR APPLICANT TO FILL IN BUIL
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST. Ilk
ABSORPTION UNIT,BTU
OWNER
AIR HANDLING UNFT,CFM MAIL
ADDRESS),-).W'2- 91awal�"
BOILER,BTU GITY L NO.
COMPRESSOFLBTU _ _ _ _ CONTRACT(;
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER Cm, f TEL NO.
FURNACE: FAU GRAVITY STATE -T LIC. I ��
FLOOR BTU LICENSE NO. 641 CLASS C�-
H ATER: S U S P E CI,- UNFT DLSTRICT NO. oRour ZONE P MED BY
W A 3 7
I P CTI R COR
Plan check fee 25% of above.
PERAAff ISSUING FEE$ 7 0-0
TOTAL FEE 7 00
PLAN CHECK APPLICANT
NYNAME
ADDRESS
CFFY TEL NO.
I HERE KNOWLEDGE I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE LS CO CT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR
CONDITIONING.
I HEREBY CERTIFY AM A NG IN VIOLATION OF Ar DATE IN3PLCTOA'S SVGNATURt
CHAPTER 9, DMSIO E B D PROFESSIQNAL CODE ROUGH
OF THE STA FOR
SIGNATU FINAL
OFPERM
ALIDATION CK �0. CASH PERFAfT VALIDATION -. moo. usH
PLAN CHE
227 NN 2-84 ']. 0 27.000u .
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