HomeMy Public PortalAbout5598-5600 MCCULLOCH AVE_Mechanical__ 76 A�64- CE 818-1/75 '
r APPLICATI FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FADDRESS
nt
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION .
FOR APPLICANT TO FILL IN OWNE
(PRINT OR TYPE ONLY)
MAIL
NO TYPE&SIZE OF EQUIPMENT FEE ADDRESS
SEE BACK OF APPLICATION
CITY TEL. NO.
FORCE AIR FURNACE, BTU _Zg 00
GD� CONTRA OR ^ql
COMPRESSOR, BTU (66
ADDRESS
VENTILATION FAN CIT TE
LIST ALL OTHERS BELOW STATE1LIC
LICENSE NO. L3' CLASS m�--�✓
DISTRICT N0. GROUP ��DNE�
SSED BY
INSPECTION RECORD
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Plan check fee. See reverse. z
PE.R.1II'I' I55L-I1G FEE S 3 00
TOTAI, FEE
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 L EGULATING IN VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
EATING,AIR CONDITIONING.
ROUGH �y
I HEREBY CERTIFY HAT A NOT ING I VIOLATION
OF CHAPTER 9, DIVISI 3, T BUSI SS AN OFESSIONAL FINAL /���� !��/6^4►•-ems.
CODE OF THE STATE C FOR A.
SIGNATURE PERMIT 11 1 DATION CK. M.0. CASH
OF PERMITTEE
PLAN CHECR LIDATION CK. CASH '
2 2 s Luft';IUL 3 4.1 D 2 3.0 0 A98