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Home My Public Portal About6120 LOMA AVE_Mechanical__ y CE-816(REV.6/78_) ' ©5 APPLICATION FOR PERMIT HEATING -VENTILATING AIR CONDITIONING n COUNTY OF LOS ANGELES BUILDING D SAFETY O FOR APPLICANT TO FILL IN [BUILDING(PRINT OR TYPE ONLY) RESS 14ALITY —NO. TYPE OF,APPLIANCE OR EQUIPMENT FEE RESTSS ST. j– - A ABSORPTION UNIT,BTU OWNER fo U AIR HANDLING UNIT,CFM MAIL / ADDRESSrg ,BOILER,BTU CITY T�j . TEL.NO COMPRESSOR,BTU •Z" �� ' CONTRACTOR VENTILATION SYSTEM- .- ADDRESS EVAPORATIVE COOLER CITY TEL.NO. .FURNACE: FAU GRAVITY. / STATE LIC. _ ,FLOOR—BTU, U LICENSE NO. CLASS ll HEATER: SUSPENDED UNIT WALL _ APPROVALS DATE (NSP CTOR'451G NATURE 777777 ROUGH FINAL INS CT N RE RD 0909 Plan check fee 25% of above.. PERMIT ISSUING FEE$ TOTAL F E PLAN CHECK APPLICANT PLAN CHECK VALIDATION NAME ' i • e 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 2 2:,739 A ' ORDINANCES AND LAWS REGULATING HEATING. VENTILATING, 'AIR- CONDITIONING. PERMIT VALIDATION #'0'0 o, o 4 I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF . CHAPTER 9, DIVISION 3, OF THE BUSINE SAND PROFESSIONAL CODE .1 0 0 2 7 0 O OF'THE STATE OF CA}e{bQRNI ,1 SIGNATURE OF PERMITTEE O O O 2 7.O 0,5" DISTRICT NO. P - SSED Y 0 ,21 � 1 /� ��'7(") .