HomeMy Public PortalAbout5456 HILTON AVE_Mechanical__ 76X36AC 'J• ( U
CE-6161REV.6/761
c�. APP CATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES. BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY( ADDRESS
OCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST.
ABSORPTION UNIT,BTU
OWNER
AIR HANDLING UNIT.CFM MAIL
ADDRESS
BOILER,BTU CITYTEL.NO.
COMPRESSOR.BTU - CONTRACTOR \
VENTILATION SYSTEM '
ADDRESS
EVAPORATIVE COOLER CITY i` TEL.
FURNACE: FAU_GRAVITV STATE )
LIG,
FLOOR BTU LICENSE NO. CLASS
HEATER: SUSPENDED—UNIT— APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
ROUGH
FINAL �Z' d
INSPECTION RECORD V
In
16
Plan check fee 25% of above. 4j 16
PERMIT ISSUING FEE$ g
TOTAL FEE 7
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS A-
�fo 3 Y5Z-7S�
CITY TEL.NO. 11
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND a463. 1 A
STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL AA
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING. AIR q o O o o [j 0
CONDITIONING. PERMIT VALIDATION
I REBY CERTIFY THAT I AM NOT ACTING IN VIOLATIPN OF 2 27,00
CHAPTER (VISION 3, OF THE BUSINESS AND PROFESSIONAL CODE
OF THE STA ALIFORM'JDSTRICTNO.
o. 27.0060
SIGNATOR
OF PERM(
P6Y 0530-'79
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