HomeMy Public PortalAbout9850 LONGDEN AVE_Mechanical__ 76A364- CE BIB- 5-73 1 -
AP ICATICN PERMIT
HEATING - VENTILATING - AIR CONDITIO I
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY C' '
ry
NEAR
CROT.
FOR APPLICANT TO FILL: IN OWNER
(PRINT OR TYPE ONLY) I
- MAIL
NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS
CITY, e TEL. NO.0q �.--7 e)
ABSORPTION UNIT, BTU
CONTRACT
AIR HANDLING UNIT, CFM
ADDRESS y
BOILER, BTU CITY. TEL..NO.3
COMPRESSOR,.BTU '. STAT aQ. LIC.
LICENSE 19~ CLASSCi��
VENTILATION SYSTEM DISTRICT NO. GROUP ESSED BY
EVAPORATIVE COO R �B 1(,�DNE.
ti
FURNACE: FAuV—r.RAVJT.Y INSPECTION RECORD
FLOOR BTU GQ
HEATER: SUSPENDED UNIT_
WALL
0
O
_ V
CL
Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE S 3 00
TOTAL FEF, (�
PLAN CHECK APPLICANT
NAME
ADDRESS t- t',Kl(V
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. ,-
I HEREBY CERTIFY THAT I AM ,NOT ACTING IN VIOLATION ROUGH -/Ib!�%"..%!
OF CHAPTER 9, DIVISION 3, OF'THE BUSA'45 AND PROFESSIONAL FINAL
CODE OF THE STATE OF CALIFORNIA. �.
SIGNATURE
OF PERMITTEE PER T VALIDATION CK.' M:O'. CASH
i
PLAN CHECK VALIDATION CK. M.O. CASH I
3! `8:.0.`0 A-98
'SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDOLE