HomeMy Public PortalAbout8729 HERMOSA DR_Mechanical__ 76A
j CE -1818 (REV.11 /78)
®m, APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
(PRINT OR TYPE ONLY)
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CRO55 ST.
AB50 RPTON UNIT.BTU
OWNER.
AIR HANDLING UNIT,CFM MAIL
ADDRESS
BOILER.BTU CITY TEL NO.
COMPRESSOR.BTU CONTRACTOR
VENTILATION SYSTEM
ADDRESS
EVAPORATIVE COOLER '
CITY TEL N0. ,
FURNACE FAU_GRAVITY STATE LIC
FLOOR BTU LICENSE NO. CLASS
HEATER- SUSPENDED—UNIT— APPROVALS DATE INSPECTOR'5 SIGNATURE
WALL G
ROUGH O
V
FINAL W
J
INSPECTION RECORD LL
T
Pian check fee 25% of above.
PERMIT ISSUING FEE$ 0.
TOTAL FEE ,
PLAN cHEcic APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS
C ITY TEL.NO.
i AA, • 'i
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND..
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL A
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING. AIR ' v
CONDITIONING PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM.;;��'MQf¢¢T,WNG IN VIOLATION OF
CHAPTER 9{�qIV 0 d.OF TMS BUSN7fSS`ANO PROFESSIONAL CODE
OF THE 59`iA(� A{JIA.
SIGNATURE
OF PERMITTEE
DISTRICT NO PROCESSED U,
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