HomeMy Public PortalAbout9448 KENNERLY ST_Mechanical__ 76 A3C4i- CE BIB-I/75 - V
t 4y APP CATION FO .ERMIT
HEATING - VENTILATING - AIR CONDITIONING
'COUNTY OF LOS ANGELES B
D RDIN
'DEPARTMENT OF COUNTY ENGINEER —
BUILDING AND SAFETY DIVISION LOCALITY 1
NEAREST /� � r
CROSS ST. L-(d Jef s•
.FOR APPLICANT TO FILL IN OWNER - Fcka � e
' rin
MAIL
(PRINT OR TYPE ONLY) - ^ _ �n•� O
NO. TYPE&SIZE OF EQUIPMENT `w FEE ADDRESS- q
,SEE BACK OF APPLICATION
0� CITY�� /�• (J• TEL. NO:'ag?-7� !�
FORCE AIR FURNACE, BTU // GG
CONTRACT0 6
COMPRESSOR, BTU
ADDRESS
VENTILATION FAN- CITY TEL. NO: ,
LIST ALL OTHERS BELOW STATE LIC.
LICENSE NO. CLASS
rDISTRICT NO. -GPOUP ZONE PROC SED BY
INSPECTION RECORD
0
U
i Lu
N.
° Plan check fee. See reverse. , . '
Z
P[:R\IIT LSSUI�'C H FF: � •
PLAN CHECK APPLICANT
NAME I��fG'/1L1af-N/ Oi itri I
ADDRESS / T e er S7�'• '
CI TYT�In IG C C TEL.NO a�/' 7
I HEREBY ACKNOWLEDGE 7H T 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND-AGREE TO,COMPLY '
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VEN71- ' APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING. .
ROUGH "
I HEREBY CERTIFY THAT .I. AM'NOT ACTING IN VIOLATION OF CHAPTER•9, DIVISION 3r:OF THE BUSINESS AND PROFESSIONAL , FINAL
CODE OF THE STATE OF CALIFORNIA:
SIGNATURE O PERMIT VALIDATION CK. .0. CASH'
OF'PERMITTEE � � �
PLAN CHECK VALIDATION CK, M.0. CASH
4 6. 2 ru-OfT :5 4..1 1 2.0 0A 983