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HomeMy Public PortalAbout10108 LIVE OAK AVE_Mechanical__ 76A364E ISE-818A1- 11/76 ` APPLICATION FOR PERMIT - - 4 HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES .,DEPARTMENT OF COUNTY ENGINEER , w BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING DB, _ ADDRESS (PRINT OR TYPE ONLY) � - " NO TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY NEAREST CROSSSTABSORPTION,UNIT,BTU - , OWNER - AIR HANDLING UNIT,CFM MAIL ADDRESS s BOILER,BTU TEL.NO. ys��Z y \ COMPRESSOR,BTU `J CONTRACTOR VENTILATION SYSTEM - ADDRESS - DA• EVAPORATIVE COOLER CITY / TEL NO yt�s'►-37sI FURNACE. FAU_GRAVITY STATE `s ?/ LIC: FLOOR BTU LICENSE NO. 2J(p3 CLASS S HEATER SUSPENDED UNIT- - DISTRICT NO GROUP , ZONE PR CES ED BY ' WALL SAO uC INSPECTION RECORD d' O Plan check fee 25% of above. i PERMIT ISSUING FEE,$ 0 7­7iOTAL FEE Cl 00 PLAN CHECK'APPLICANT ' NAME - ADDRESS - G ITY TEL!NO - I HEREBY ACKNOWLEDGE THATI 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 HEREBYCERTIFY THAT I AM NOT ACTING I VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE CHAPTER 9, DIVISION 3, OF.THE SINE S AND P FE IONAL CODE � OF THE STATE OF CA RN , ,ROUGH SIGNATURE FINAL OF PERMITTEE ''L'/7 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK Mo CASH 4 7 5 N AUG 26 41. ® 9.0 0 ems . ©5