HomeMy Public PortalAbout8708 HERMOSA DR_Mechanical__ ...]6A 36r- `E BIB w17 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY "�
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL o�
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL. NO. .
ABSORPTION UNIT, BTU vu'G� Gee...///
CONTRACTOR '`
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU
CITY TEL. NO.
COMPRESSOR, BTU STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. I GROUP O�ZONE RR0 ss Eo BY
EVAPORATIVE COOLER09
FURNACE: FAUGR 7
FLOOR BTU C7U INSPECTION RECORD
s
HEATER: SUSPENDED—UNIT_
H
WALL U
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d
N
Z
Plan check fee 250 of above. See reverse.
PERMIT ISSUENG FEE 3 3 Oo
'DOTAL FEE L45 �(
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
WIT ALL ORDINANCES AND AWS REGULATING HEATING, VENT[- APPROVALS DATE INSPECTOR'S SIGNATURE
LATINS, AIR CONDITIONING.
ROUGH
IHEREBY CERTIF T AT I AM NOT TING IN VIOLATION s
OF CHAPTER 9, DIVISI N OF THE BU51 4N0 PROFESSIONAL FINAL �Z!
CODE OF THE STATE ALI FOO NI A.
13
SIGNATURE PERMIT VALIDATION CK. M.O. CASH
OF PERMITT
PLAN CHECK VALI ATION CK. M.O. CASH
uio ^ 2 ? 7 GEI1841 A 8.00-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 9