HomeMy Public PortalAbout9094 LAS TUNAS DR_Mechanical__ 76 A36 , B,B - 9-71 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL �77
NO TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS
CITY
ABSORPTION UNIT, BTU TEL. NO. 1� f�3,/
(�- arv�
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS Q�
BOILER, BTU
CITY TEL. NO /
COMPRESSOR, BTU ��Q00 _ — STATE / �� LIC
LICEN NO. G CLASS
VENTILATION SYSTEM DISTRICT NO GROU j ZONE Roc S ED BY
EVAPORATIVE COOLER `SJ 1 I' >-
o..
FURNACE: FAUGR VI'TY
FLOOR BTU OS 0 INSPECTION RECOR
HEATER. SUSPENDED UNIT_ O
H
WALL tv
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Z
Plan check fee 25% of above. See reverse.
PEf3MIT ISSUING FEE S 00
TOTAL FEE v
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL 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
LATING, AIR CONDITIONING '
ROUGH -4284,98
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF CAC ORNIA
SIGNATURE PERMIT VALIDATION CK M 0 CASH
OF PERMITTE 2 0 - 3700
PLAN CHECK VALIDATION CK M.O CASH Iolo o 3 7.0 0
,.,-a • `)? - q - "- c-, . 02211-79
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE