HomeMy Public PortalAbout9157 LONGDEN AVE_Mechanical__ 7GA364E IC€-BIBA)-„/76 APPLICATION FOR PERMIT
. HEATING - VENTILATING - AIR CONDITIONING
OUNTY OF LOS ANGELES
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 O �•
' CROSS ST. '
ABSORPTION UNIT,BTU
OWNER G
AIR HANDLING UNIT,CFM MAIL / r
ADDRESS
BOILER,BTU CITY TEL.NO.
COMPRESSOR,BTU CONTRACTOR
VENTILATION SYSTEM ADDRESS;-/
EVAPORATIVE COOLER CITY D TEL.NO,3,3ftXW
FURNACE:' FAU_GRAVITY STATE LIC.
FLOOR BTU LICENSE NO. CLASS
HEATER: SUSPENDED UNIT- DISTRICT NO. GROUP ZONE PROCESSED BY
WALL
INSPECTION RECORD 0
O v
IN
Plan check fee 25%of above. bd
PERMIT ISSUING FEE$ QQ Z
TOTAL FEE
PLAN CHECK APPLICANT
NAME
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
ORDINANCES AND LAWS REGULATING HEATING, VENTIL I1(1G, AIR
CONDITIONING.
LCHAPTER
REBY CERTIFY THAT I AM ACTING VIOL/A�TION OF APPROVALS DATE INSPECTOR'S SIGNATURE
9, DIVISION 3, OF THE BU SS AND OFESS ANAL CODE ROUGH
TATE OF CALIFREFINAL �ITTE
PLAN CHECK VPILIDATION CK; � M.O. CASK PERMIT VALIDATION cli. M.o. cnsN
2 5 9'Ll"-dAN 2:5 4 1 0 1 3.0 0 ��'�