HomeMy Public PortalAbout9908 LIVE OAK AVE_Mechanical__ 76 A364 - CE 818-1/75
APPLI, AT10N FOR RMIT -
HEATING,- VENTILATING - AIR CONDITIONING
COUNTY OF-LOS ANGELES ADDRESS S LaU�
DE PA,RTMENT•OF'COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY G,
NEAREST r
CROSS ST. 7La\
FOR APPLICANT TO FILL IN OWNER ' l
(PRINT OR TYPE-ONLY) U
NO TYPE&SIZE OF EQUIPMENT FEE ADDMAILRESS EL LI64�1-
SEE BACK OF APPLICATION _
CITY�C_M � TEL. N0.'���— �
FORCE AIR FURNACE, BTU
CONTRACTOR � -)C -�LS
COMPRESSOR,-BTU
ADDRESS �{���
VENTILATION FAN
(�. TEL. NO2�,,j&—D
/
LIST ALL OTHERS BELOW STATE LIC
LICENSE NO. �. CLASSG
I I T NO"
UP ZONE CESSED BY
INSPECTION RECORD
3—3 - r
0..
'lee Ale
0
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Plan check fee. See reverse.
PI:.R\II I ISSUIN(. FIJ, S
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO f
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, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING• AIR CONDITIONING
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STA E OF CALIFORNIA
SIGNATURE �'y� PERMIT VALIDATION cK. M 0 CASH `
OF PERMITTED\ lam(//��_, �J - -
PLAN CHECK VALIDATION CK M 0 CASH
37 3L�`FER 2541 0 15.7 5'®L-;,3
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