HomeMy Public PortalAbout9931 MILOANN ST_Mechanical__ �6A384- CE 618- S-73
APPLICATI0 FOR PERMIT
HEATING.- VENTILATING - AIR .CONDITIONING
COUNTY OF LOS ANGELES ADDRESS Ito 3 LV AJ�v
DEPARTMENT OF,COUNTY ENGINEER
-BUILDING AND SAFETY DIVISION LOCALITY
l
NEAR EST
],CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) 0
MAIL 7
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS 9J LD �(/�
CITY— �Ty TEL. NO. /
ABSORPTION UNIT, BTU '
CONTRACTO ..� OSE QAJS
AIR HANDLING UNIT, CFM
ADDRESZT LL.
BOILER, BTU
CITY /J�j1 TEL. NO. 3
COMPRESSOR, BTU LICENSE NO. 1-0-M417— CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU_GRAVITY INSPECTION RECORD
FLOOR BTU
HEATER: SUSPENDED UNIT_
WALL t:
CD
_ v
o
H
U
W
Cn
CL
Plan check fee 25%of above. See reverse.
Z
PERMIT ISSUING FEES a 00
TOTAL; FEE d U
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.N0.
LBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
E• THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE.
IR CONDITIONING. ROUGH
EBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
ER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINALTHESTATURE PERMIT VALIDPLY10N CKM.O. CASH
MITTEE
.PLAN CHECK VALIDATION CK. M.O. CASH