HomeMy Public PortalAbout6113 IVAR AVE_Mechanical__ 76.A364.- CE 818.-L/75 �AILICAT-ION FOR PERMIT
HEATING,:., VENTILATING - AIR CONOITIONING
Y'-
COUNTY OF LOS ANGELES' BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST E
CROSS ST.
FFOR, APPLICANT TO' FILL IN OWNER
(PRINT OR TYPE ONLY). _
MAIL
N'O. TYPE&SIZE OF EQUIPMENT, FEE ADDRESS
- SEE BACK OF APPLICATION
CITY TEL. NO.
FORCE AIR.FURNACE, BT (/U
ov
«' CONTRACTOR
COMPRESSOR,; BTU
ADDRESS47 000
016 ,
VENTILATION-FAN
CITY .,./ 15 3' L.
NO.
LIST ALL OTHERS.BELOW STATE, LIC.,
LICENSE NO. 1•f1';z 413 1 CLASS
ISTRICT.NO. •GROUP ZONE - PROCESSED'-BY
INSPECTION ;RECORD
41
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O
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N,.
Plan check fee. See reverse: —
pER.%II 1, 1ssUI F'l';F; .5 3 00
TOT.,\I r L:I;
y,
PLAN CHECK APPLICANT
NAME —
ADDRESS. '
CITY TE. ..NO.
1- 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, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
•' LAT ING,AIR CONDITIONING - -
ROUGH Z��P
I HEREBY CERTIFY THAT I AM NOT.ACTING IN VIOLATION _
OFDCHAP TER 9, AT ESION 3, THE. BU S AND PROFESSIONAL FINAL G'Z
' CODE OF THE STATE OF .FOR NI A.';
`SIGNATURETT. PERMIT VALIDATION cK. M.0. CASH
OF PERMI E.E
PLAN CHEC VALIDATION` cK, M.0. CASH
0' 3 4'r:,%joV 26 41 0