HomeMy Public PortalAbout9413, 9413 1/2, 9415, 9417 LAS TUNAS DR_Mechanical__ 76 A364R- CE 818-I/75 • -
APPLICATdbN FOR PER
H:E,ATING - VENTILATING - AIR CeNoITIOIdING �.
COUNTY'OF LOS ANGELESBUILDING
DEPARTMENT OF.COUNTY ENGINEER ADDRESS Al 6 .C-
BUILDING AND SAFETY DIVISION LOCALITY' Cc
NEAREST
CROSS ST.
ITTI
FOR APPLICANT TO FILO IN OWNER 0
i (PRINT OR TYPE ONLY,) - -
MAI L
NO. TYPE&SIZE OF EQUIPMENT FEE ADDRESS
SEE BACK OF APPLICATION
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CITY TEL. NO.
FORCE AIR FURNACE BTU
CONTRACTOR 41,
COMPRESSOR, BTU
ADDRESSf ✓h L�' ✓ `J
x., VENTILATION FAN TEL. NO.
CLTY
. ice,:e % 1:y..F .S3:
LIST ALL OTHERS BELOW'. STATE'.. aa s/� / L'IC. !.'
LICENSE,NO. �J CLASS
DISTR'I'CT,NO.: GROUP ZONE. ESSED BY
INSPECTION RECORD
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. 0
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O
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Plan check fee. See reverse. _.... z
11F. MIT ISS(dN(
.. - -I°pT.�I I }gip, ✓tT� J -
PLAN' CHECK APPLICANT.
NAME
ADDRESS
CITY TE,L-.N0.':
I HEREBY ACKNOWLEDGE THAT I HAVE READ-THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO,,C'OMPLY.. ,'_WITH ALL ORDINANCES AND LAWS REGULATING HEATING,-VENTI- APPROVALS - DATE INSPECTOR'S SIGNATU RE
LATING, AIR CONDITIONING.
ROUGH -
1 HEREBY CERTIFY THAT i AM NOT ACTING IN VIOLATION
OF CHAP TER`9, DIVISION 3, Of THE BUST AND"PROFESSIONAL. FINAL-
-'.'CODE OF THE STATE.OF F.OR NI A.-
'SIGNATURE +� -�PERMInT VALIDATION CK. M.O. CASH _
:OF PERMITTEE + \ -•IL
PLAN CHECK VALIDATION CK. M.O. CASH
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