Loading...
HomeMy Public PortalAbout5243 HALIFAX RD_Mechanical__ 76A'3s40C Eh 818A)-9/77 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING (PRINT OR TYPE ONLY) ADDRESS LOCALITY NO TYPE OF APPLIANCE OR EQUIPMENT - FEE do NEAREST ' CROSS ST ✓L�Cre/� ABSORPTION UNIT,BTU OWNER AIR HANDLING UNIT,CFM MAIL ADDRESS BOILER,BTU CITY TEL NO COMPRESSOR,BTU__A_k/,o60i^ CONTR"ACTOR" ,l VENTILATION SYSTEM ADDRESS EVAPORATIVE COOLIE CITY TEL NO Cl S do FURNACE FAU V G TY STATE LIC _ FLOOR BTUO LICENSE N033 CLASS C n HEATER SUSPENDED UNIT- DISTRICT NO OUP ZONE PRO SED BY WALL �7�✓ 0 f/ [fGR _ - t INSPECTION RECORD d' V O Plan check fee 25% of above - m PERMIT ISSUING FEE$ p Z TOTAL FEE PLAN CHECK APPLICANT NAME ADDRESS CITY TEL NO ` 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 - I HEREBY CERTIFY THAT I M INOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR S SIGNATURE CHAPTER 9, I ION 3, OF THE S SS AND ROFESSIONAL CODE OF THE STAT OF ALIFORN ROUGH - SIGNATURE' FINAL ¢�2O'J �- OF PERMITTE PLAN CHE VALIDATI o CASH M PERMIT VALIDATION CK •M O CASH 12bru-AUG 441 U -2 7.0 POLICY NUMBAER: �/ Y t -7 —7 0 -7 I ©s