HomeMy Public PortalAbout9615-9617 LONGDEN AVE_Mechanical__ 76 A364 yCE 818
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING('/
ADDRESS 7 � "�6
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITYTMPLEr al
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CROSS ST. �A(191r 0,17Y. & Vb-
FOR APPLICANT TO FILL IN OWNER /G /j�
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MAIL
No. TYPE OFAPPLIANCEOR EQUIPMENT FEE
ADDRESS 19a5 IV • ,ARA&Ae- AUE-
CITY
ABSORPTION UNIT, BTU ., _5Ad (3 A&?1 ELTEL. NO.qqS a If 63.
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CONTRACTOR RAV ES fi7l A le
AIR HANDLING UNIT, CFM
ADDRESS 1710 Al- 1_6REW
BOILER, BTU CITY AZUSA �J a TEL. NO
COMPRESSOR, BTU 3U bOO
STATELICENSE NOA /S 73 CLASS �-
VENTILATION SYSTEM DISTRICT NO. .
ZONE SED BY
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EVAPORATIVE COOLER 1�?GROUP
3 Q z✓
FURNACE: FAU_GRA
FLOOR BTU ITY n INSPECTION RECORD
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HEATER: SUSPENDED UNIT_
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Plan check-fee 25% of above. See reverse.
PERMIT ISSUING FEE 8
00
TOTAL FEE D�
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 THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF ALIFORNIA.
SIGNATURE PERMIT VALIDATION CK V M.O. CASH
OF PERMITTEE
PLAN CHECK VALIDATION
PD iLDER: 2 4 •3 rr1UG 10 4 U `'t 'Y•0 0 AU
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE /rJ --A-D