HomeMy Public PortalAbout9090-9092 LAS TUNAS DR_Mechanical__ 76A364E (CE-818A)-11/76 APPLICATION FOR PERIMIT
' - HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING c,/ /
(PRINT OR TYPE ONLY) ADDRESS /B — Al Q -•
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LOCALITY
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST 1�YI
ABSORPTION UNIT,BTU
OWNER PINs � u �
AIR HANDLING UNIT,CFM MAIL
ADDRESS B 9,9 OE A&gg (.[-
BOILER,BTU CIT � �{ � TEL NO
--c, (+ D
COMPRESSOR,BTU --0 CONTRACTOR
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY TEL NO
FURNACE FAU_GRAVITY STATE LIC
FLOOR BTU [LICENSE NO CLASS
HEATER SUSPENDED UNIT— DISTRICT NO GROUP ZONE PROC ED BY
WALL
4(5 F C
— �^
INSPECTION RECORD
O
to
O
Plan check fee 25% of above
PERMIT ISSUING FEE$ �
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
IHEREBY 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, VENTILATING, AIR
CONDITIONING
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR 5 SIGNATURE
CHAPTER 9, DIVISION 3, OF THE BUSI S AND P OFESSIOINAL CODE
OF THE STATE OF CALI' IA ROUGH
SIGNATURE i,i} � FINAL /�?7
OF PERMITTE �C�V'�
PLAN CHECK VALIDATION Mo cnsH PERMIT VALIDATION CK m0 CASH
8 6 -6 JUL 28 4 1 ® 1 2.0
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