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HomeMy Public PortalAbout6251 LOMA AVE_Mechanical__ 76 A364 -yCE; 818 - 9-71 APPLICATION FOR PERMIT _ /f HEATING - VENTILATING - AIR CONDITIONING (/ COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 4v�✓/� BUILDING AND SAFETY DIVISION LOCALITY �� r NEAREST CROSS ST. /1 FOR APPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) •'�'��� MAIL µ At, /b.�J P^zL, NO TYPE OFAPPLIANCE OR EQUIPMENT FEE ADDRESS -�T(� CITY��A �� �` TEL. NO.�s.��Q� ABSORPTION UNIT, BTU II��+ f+�o CONTRACTOR AIR HANDLING UNIT, CFM d2j ADDRESS BOILER, BTU � CITY TEL. NO COMPRESSOR, BTU`��'+�p"" -�00 S �a STATE LIC LICENSE NO. CLASS VENTILATION SYSTEM DISTRICTNOGROUP ZONE PROCESSED BY EVAPORATIVE COOLER (J FURNACE. FAU GVITY A7 I' c:)Z FLOOR BTU �0000 y OD INSPECTION RECORD HEATER. SUSPENDED UNIT O F- WALL w CL. cn ' I Z Plan check fee 25% of above See reverse. PERMIT ISSUING FEE S 3 00 TOTAL FEL Cl PLAN CHECK APPLICANT NAME ADDRESS CITY TEL NO I 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 D TE IN ECTOR'S SIG ATURE LATING, AIR CONDITIONING p 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 STATE CIFORNIA SIGNATURE (ALPERMIT VALIDATION(,:� CK. M o CASH OF PERMITTEE PLAN CHECK VALIDATION CK M O CASH uwo; n s s SEP 22 4 1 0 2 5.5 ON Q hft.c-RACK of APPLICATION FOR COMPLETE FEE SCHEDULE ��, 76A364E (CE-81 BAI,-11/76 APPLICATION FOR PERM HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LANGELES DEPARTMENT OF,COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING �. (PRINT OR TYPE ONLY) ADDRESS LOCALITY NO TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST CROSS ST ABSORPTION UNIT,BTU 2W1100o I,i 2 _ OWNER AIR HANDLING UNIT,CFM MAIL G ' ADDRESS Z51 BOILER,BTU CITY /D- TEL NO COMPRESSOR,BTU CONTRACTOR VENTILATION SYSTEM ADDRESS g�� ToN l EVAPORATIVE COOLER CITY TEL NO FURNACE FAU GRAV ITYSTATE LIC VV FLOOR BTU LICENSE NO g5 CLASS HEATER SUSPENDED UNIT- DISTRICT NO GROUP ZONE P SSEDBY WALL INSPECTION RECORD rd O ' V ad O Plan check fee 25% of above" PERMIT ISSUING FEE$ TOTAL FEE PLAN CHECK APPLICANT NAME ADDRESS CITY Smm - TEL NO�C/T 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 S SIGNATURE CHAPTER 9, DIVISIONA3, OF THE BUSINESS AND PROFESSIONAL CODE OF THE STATE OFC ORNIA ROUGH _ SIGNATURE FINAL OF PERM ITTE PLAN CHE VALIDATION CK M o CASH P RM IT IDATIO cK M o CASH 0 9 5"rJAN 13 4 .1 D 1 5 ASS ©1