HomeMy Public PortalAbout4947 HELEO AVE_Mechanical__ 76A364C
CE-818 (REV.11/78)
®s APPLICATION FOR PERMIT
IflEATIMG - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING ARID SAFETY
FOR APPLICANT TO FILL IN BUILDING
(PRINT
�77 jC L EP
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY /1 �^
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE _ Y
C 17-
NEAREST ^ ,
CROSS ST.
ABSORPTION UNIT,BTU -;
- .OWNER. L;��:•
AIR HANDLING UNIT,CFM MAIL - _ `� /'�� 14 V�
ADDRESS 2C
BOILER,BTU 2
CITY -��. •',� `.��C1 TEL.NCA ?
COMPRESSOR,BTU �0, Gt�o U '� CONTRACTOR
VA L L E Y o
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER � SCJ
CITY � � � ���LTEL.NO. -3
FURNACEFAU_,LGRAVITY, STATE I/�� ��^A LIC. C O
FLOOR BTU 00 � LICENSE NO. _! • / CLASS v 9
HEATER:- ,SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
ROUGH 9.
FINAL !�� '
u
INSPECTION RECORD. g
O
Plan check fee-25% of above. Lu
w
PERMIT ISSUING FEE
TOTAL FEE 7
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME - -
ADDRESS -
CITY TEL.NO. 2�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION'AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL pX3. -
6'5.77A
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR
CONDITIONING. PERMIT VALIDATION I HEREBY CERTIFY THAT I AM NOT A NG IN IOLATION
CHAPTER 9, DIVISION 3, OF THE BUSINESS D PROFE SIONAL EOF THE STATE OF C IA. -SIGNATUREOF PERMITTEE U• P DISTRICT NO. PROCESSED BY •- C!JCNO. Ulv O - �9r_ �7 O O ' :�
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