HomeMy Public PortalAbout6002 MUSCATEL AVE_Mechanical__ 76A364E (CE•81BA).11/76 APPLICATION FOR PERMIT
r
HEATING =NTILATING - AIR CONDITIONING
S
COUNTY 06LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING 00 O [/s'f,y�
(PRINT OR TYPE ONLY) ADDRESS pp
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST �i /✓ Q /��
QO a CROSS ST.
ABSORPTION UNIT,BTU ` y
OWNER Y C�U `• �/�
AIR HANDLING UNIT,CFM MAIL
ADDRESS (O�G -,7,
BOILER,BTU n CITY �/1 ��!`�
J /J' l`' n / TEL.NO��si / /o
COMPRESSOR,BTU %
CONTRACTOR v ,�� b/✓��
VENTILATION SYSTEM ADDRESS LA12
EVAPORATIVE COOLER CITY /�2� �] TEL.NO.C1�S_d_,C��
FURNACE: FAU_GRA IT —� L CST ENSE NO. ,�l'J � OC_. CLASS 1-0
FLOOR BTU op LJ
HEATER: SUSPENDED UNIT- DISTRICT NO. GROUP ZONE PROCESSED BY
WALL
, e) L — �
INSPECTION RECORD
V
Plan check fee 25%of above. bd
PERMIT ISSUING FEE$ -v us
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES.AND LAWS REGULATING HEATING, VENTILATING, AIR
CONDITIONING.
I HEREBY CERTIFY THAT I A NOT AND ACTING
PROFESSIONAL OAA VIOLATION
APPROVALS DATE INSP TOR'S SIGNATVRE
CHAPTER 9, DIVIS N OF T E
OF THE STATE OF 1 A. ROUGH 7j
SIGNATURE FINAL
OF PERMITTE
PLAN CHECK vALIIbATION CK. M.O. CASH PERMIT VALIDATION JCK. M.O. CASH,-: