HomeMy Public PortalAbout5741 NOEL DR_Mechanical__ 76 A304 --CE 818 - 9 71 APPLICATION FOR PERMI
. HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS DIS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 4
CI TEL NO
ABSORPTION UNIT BTU
CONTRACTOR fit/ J�
AIR HANDLING UNIT CFM
ADDRESS ,d-
BOILER BTU CITY 1 eZ7AEL NO
COMPRESSOR BTU STATE /S LIC
LICENSE NO ;?p ZS CLASS
VENTILATION SYSTEM DISTRICT NO GROUPj�_ ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE FAU_GRAVITY FLOOR BTU INSPECTION RECORD V
HEATER SUSPENDED-UNIT-
WALL
USPENDED UNIT_WALL tv
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N
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Plan check fee 26% of above See reverse
PERM)I ISSUING FN F S 3 00
10TAL FFC JW
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY 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 VENTI APPROVALS Z I PECTOR SI NATURE
LATING AIR CONDITIONING
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9 DIVISION 3 OF THE BUSINESS A PROFESSIONAL FINAL
CODE OF THE ST F CALIF NIA
SIGNATURE PERMIT VALIDA_,VOW .� CK M o CASH
OF PERM TT
PLAN CH VALIDATION C M 0 CASH
L"71 e 34 X20 a 1 8.00-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE