HomeMy Public PortalAbout9045 LONGDEN AVE_Mechanical__ 06 A364 CE 818 -_9-71 APPLICATION FOR PERMIT
' HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS
DEPARTMENT OF COUNTY ENGINEER C
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL �
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY C II TEL. NO. �VV
ABSORPTION UNIT, BTU `"L444000�
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU
CITY TEL. NO
COMPRESSOR, BTU STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT N(;,l GROUP ZONE PROCESSED Br
a00EVAPORATIVE CO LER �
FURNACE. FAU GR VITY e
INSP
FLOOR BTU b ECTION RECORD
HEATER: SUSPENDED-UNIT
/ WALL vv
W
d
N
Z
Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE S 3 00
TOTAL FEE
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 DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING
ROUGH
I HEREBY CERTIFY E&I
OTACTT IN VIOLATION
OFCHAPTER 9, DIVISIONNES N PROFESSIONAL FINAL /�/CODEOF THESTATE 01
SIGNATURE PERMIT VALIDATION - C . M o CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK Clm o CASH
.1,
LAW 7 '0 9 19 N,. JUL 2 0 4. 1 0 8.0-0-
SEE
.0-ONSEE BACK OF APPLICATION FOR COMPLETE_FEE SCHEDULE ._