HomeMy Public PortalAbout9601-9603 LONGDEN AVE_Mechanical__ 76 A364,- Ce 616- 5-73
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING1 OM61)EAf
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY ����AA //pL� /�0-1 y
N EST CROSS ST. �ClV`f'LC a 13LV b
FOR APPLICANT TO FILL IN OWNER /� / /��
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NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE
ADDRESS I L/p?J �- A/'C!'�/U(!-,, 4VP- -
CITY C n ��TEL. NO. 5- � o3
ABSORPTION UNIT, BTU J
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS Al - "RE-IV
BOILER, BTU CITY /I Z LISA TEL. NO.3/317- 03
COMPRESSOR, BTU z l dW STATE �j����j� LI
LICENSE NO. / d(/
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE SBED BY
EVAPORATIVE COOLERv
FURNACE: FAU_GR ITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT_
WALL
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Plan
LPlan check fee 257c of above. See reverse.
PERJIIT ISSUI\G FEF. S 00
TOTAL FEE O
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
i
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
LLATING,
RDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
CONDITIONING.
ROUGH
BY CERTIFY THAT I AM NOT ACTING IN VIOLATION
9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL !FINALE STATE OF CALIFORNIAE PERMIT VALIDATION CK. M.O. CASH
LftlITTEE
PLAN CHECK VALIDATION , 'CK:N'- •p I(�
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SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ����