HomeMy Public PortalAbout10626 KEY WEST ST_Mechanical__ 76 A364,c'CE 8 18-1/75
APPLICATION FOR PERMIT
HEATING .- VENTILATING - AIR,CONDITIONING
COUNTY.OF LOS ANGELESi
LDING
DEPARTMENT OF COUNTY ENGINEERRESS O�.Z E 1lf6'
BUILDING AND SAFETY DIVISIONALITY �^
REST
SS,ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) '
MAI L
NO TYPE&SIZE OF EQUIPMENT FEE ADDRESS
_ SEE BACK OF APPLICATION -
CITY TEL: NO.
FORCE•AIR FURNACE, BTU '
CONTRACTOR G -
COMPRESSOR, BTU
• ADDRESS �b- •
VENTILATION FAN
r CITY TEL. N0.3��67
LIST ALL OTHERS BELOW STATE LIC.'
LICENSE NO. 7 CLASS C� Q
I ICT
NO.- GROUP . ,Jq NPROCESSED BY
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INSPECTION RECORD
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Plan check fee. See reverse. •
Z
NG11MIT ISSUING F'1:1•; S o ;
- I'O.1'A1, FI--1-'
PLAN CHECK APPLICANT
NAME
.r
ADDRESS '
CITY, TEL'NO
I 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 -
'LATING, AIR CONDITIONING _
ROUGH 3
I HEREBY CERTIF "THAT 'AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIV ION 3, OF E BUSINESS AND PROFESSIONAL
i CODE OF THE'STA CAL-IFOR IA.' - FINAL" -
SIGNATURE ERMIT VALIDATION ' cic. ' M.O. CASH
OF PERMITTEE -
.PLAN CHECK VALIDATION CK. M.0 CASH
3 8. 7 2641 I '7.50A98