HomeMy Public PortalAbout9443 LONGDEN AVE_Mechanical__ '76A364C*
CE-818(REV.11/78) `
es do APP CATION FO R T
HEATING - NTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING g443 IANGDEL�T AVE.
(PRINT OR TYPE ONLY) ADDRESS 443 O. /+
LOCALITY . 1�iL1 IE Cm
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE OQ
NEARE T
CROSS T.
ABSORPTION UNIT,BTU
OWNER
AIR HANDLING UNIT,CFM MAIL ' SA
ADDRESS ��+ p`
BOILER,BTU ��.r• CM TEL.N0.286-7111
LR] CITY r��T�+ T�
1 COMPRESSOR,BTU 3.5-IM ZO 00 CONTRACTOR 1RANE HCC
VENTILATION SYSTEM ADDRESS 2034:N.- PECK RD.
EVAPORATIVE COOLER CITY.L+. IV= TEL-IW9-7982
FURNACE: FAU y. GRAVITY' STATE,? LIC.
FLOOR BTU 100 pop LICENSE NO. CLASS
HEATER: SUSPENDED UNIT APPROVALS DATE INSPECTOR'S SIGNATURE.
WALL
ROUGH
FINAL
INSPECTION RECORD ` gg
a
Plan check fee 25%of above.
PERMIT ISSUING FEE$ 7 00
TOTAL FEE
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
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 ] c o 0 0 ()
ORDINANCES AND LAWS REGULATING HE. G, VENTILATING, AIR
CONDITIONING. / PERMIT VALIDATION 2 °
I,HEREBY CERTIFY HAT I N CTI IN VIOLATIO 2 F `T'0 C
CHAPTER 9, DIVISION 3 F E SI AN PROFESSION DE 7
OF THE STATE OF CALIF 1 . ° ° ° l .o�, c:,
SIGNATURE
OF PERMITTEE 0 7 1 6_ D 0
DISTRICT NO. PROCE9626BY