HomeMy Public PortalAbout4951 MCCLINTOCK AVE_Mechanical__ 76 f3h.4 00,1-
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APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDI'
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DEPARTMENT OF COUNTY ENGINEER ADI:R.Ss
'
BUILDING AND SAFETY DIVISION LOCALfV
-.
NEAREST ,c;c
CROSS ST.
FOR APPLICANT TO FILL IN
OWNER
(PRINT OR TYPE ONLY(
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE 'ADDRESS
(CITY TEL. NO,�?
ABSORPTION UNIT, BTU
(CONTRACTOR
AIR HANDLING UNIT, CFM
;�DRESS
BOILER. BTU
CITY TEL. NO.
COMPRESSOR, BTU STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM GROUP LONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU—GRAVITY C)
INSPECTION RECORD
FLOORBTU
HEATER: SUSPEyED NIT_ C)
WALL Lu Ca
Cl-
ce)
Plan (heck fee 25� of above. See re-,vv e.
PERmi'r ISSI ING FEE S 3 00
rur,U. FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND S TATE THAT THE ABOVE IS CORRECT AND AGREE To COMPLY S
WITH ALL ORDINANCES AND LAWS
REGULATING HEATING, VENTI- APPROVALS SPECTOR;. SIGNATURE
LATING, AIR CONDITIONING. ROUGH
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE US NESS AND PROFESSIONAL FINAL
CODE or THE STATE CALIFORNIA.
SIGNATURE -PERMIT VALIDATION CK. M.O. CASH
OF PERMITTEE
PLAN CHECK VALIDAPjgft— CK. M.O. CASH
a-Lur-j SEP 14 4 1 0 8.00-