HomeMy Public PortalAbout9455 KENNERLY ST_Mechanical__ CE-818(REV.6/78) 5 -
-' 05 APP ATIUD N FOR PERMIT
HEATING, VENTILATING •- AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
BUILDING
R'APPLICANTTO FILL IN,
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DDRESS •y
LOCALITY � -•
NO' TYPE OF'APPLIANCE OR EQUIPMENT FEE
NEAREST J
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ABSORPTION UNIT,BTU , y^� -
OWNER 1d
AIR HANDLING UNIT,CFM MAIL"
I
'• ADDRESS w L'
BOILER,BTU CITY TEL. '
COMPRESSOR,BTU CONTRACTORph
.VENTILATION SYSTEM - ADDRESS ' — .S
EVAPORATIVEGOOLER - CITE` TEL NO ,
'FURNACE �FAU GRAVITY STATE- LIC
FLOOR •BTU - LICENSE NO CLASS - 1
HEATER SUSPENDED UNIT_ APPROVALS DATE INSPEC R'Vj2r TURE
WALL
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FINAL C
INSPECTION RECORD V
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Plan check fee.25/o of above. �"A n �
PERMIT ISSUING FEE$ / Z
TOTAL-FEE
PLAN CHECK APPLICANT PLAN CHECWVALIDATION� ,
NAME .
ADDRESS • - y .
CITY TEL NO '
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS•CORRECT AND AGREE TO COMPLY WITH ALL - - - y '
ORDINANCES AND LAWS REGULATING "HEATING, VENTILATING, AIR _ @1A 3 0 A '
CONDITIONING I PERMIT VALIDATION
'I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF - -# Q'0 p" p 41 -
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONACCODE _ nn
OF THE STAT CALIFORNIA _ .. `j. - •2'p p 2:7V 0
SIGNATURE -
OF PERMITT ` •'
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DISTRICTNO PROCESSED BY
76A364C a ' -
CE-818(REV.6/78)
os APPLICATION FOR PERMIT
HEATING' - 'VENTII'ATING,'7 AIR CONDITI,ONI.NG,
COUNTY OF LOS ANGELES + BUILDING AND.SAFETY
BUILDING
/ Ji
'FOR APPLICANT TO FILL IN,.. RID
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(PRINT OR TYPE ONLY)
LOCALITY /
NO ! TYPE OF APPLIANCE OR EQUJPMENT FEE' `_� •� '
NEAREST
? - CROSS ST '
ABSORPTION UNIT,BTU
OWNER
AIR HANDLING-UNIT,CFM-
MAIL
- MAIL -�
ADDRESS
BOILER;BTU �'"
CITY ^'�' . G+ No
ZJ
COMPRESSOR,BTU CONTRACTOR•
.VENTILATION SYSTEM -
' � ADDRESS -6 2• •
EVAPORATIVE COOLER - CITY TEL N
FURNACE. FAU GRAVITY STATE �v LIC -
FLOOR BTU ILICENSENO _/jq ' 'CL'ASS
HEATER- SUSPENDED UNIT_ 00 APPROVALS DATEINSPECTOR'S51GN uRE '
WALL n
.- ROUGH q
FINAL O
INSP TION RECORD, V
�0
Plan,check fee 25% of above: �+
PERMIT ISSUING FEE$ "] , - Z
TOTAL FEE _117 00
PLAN CHECK APPLICANT" -
PLAN CHECK VALI, ATION
.'NAME •'
ADDRES �a' D"4- Ste/(0,
CITY wo I ' TE'L NO` _
LVIREBY ACKNOWLEDGE-THAT I HAVE READ THIS APPLICATION AND ,2 4.5 311A.
AT THE ABOVE`IS CORRECT AND AGREE,TO COMPLY WITH ALL:'
CES AND LAWS REGULATING HEATING,. VENTILATING,:AIR'' - # o-o�0':0'42
NING PERMIT VALIDATION
REBY CERTIFY THAT'.I'AM NOT- ACTING.
IN VIOLATION OF 2�o o 7.O Q -
9, DIVISIO OF THE'B,USINESS AND PROFESSIONAL CODE
TATE OF C F RNIA.• o�o`0 1 7,O Q U'RE "ITTEE '
DISTRICT NO - PROC SSED BY,
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