HomeMy Public PortalAbout5940 OAK AVE_Mechanical__ 76 A3640 CE 6 1 B 1/75
APPLICA ON FOR PER IT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING Al
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO TYPE&SIZE OF EQUIPMENT FE ADDRESS
SEE BACK OF APPLICATION
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CONTRACTOR _
COMPRESSOR BTU
ADDRESS
VENTILATION FAN CITY .02,61
TEL NO 3
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LIST ALL OTHERS BELOW STATE LIC
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PLAN CHECK APPLICANT aha
NAME
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1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION
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WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENTI APPROVALS DATE INSPECTOR 8 SIGNATURE
LATINO AIR CONDITIONING
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I HEREBY CERTIFY T I AM OT ACTING IN VIOLATION
OF CHAPTER 9 OIVISLfff 311111'10F THE IN S AND PROFESSIONAL FINAL !�
CODE OF THE STATE CA F N
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76 ABBaa•CE BIB 1/78
APPLICATION FOR PERMIT
HEATING - VENTILATING jIR CONDITIONING
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) �oV
MAIL
NO TYPE&SIZE OF EQUIPMENT F ADDRESS
SEE BACK OF APPLICATION
CITY �. TEL NO
FORCE AIR FURNACE BTU
CONTRACTOR
COMPRESSOR BTU 4W90lfjr2 140
ADDRESS
VENTILATION FAN
CITY STEL NO�
LIST ALL OTHERS BELOW STATE 5 �/ V
LICENSE NO CLASS
DISTRICT NO GROUP ONE PROCF.43ED BY
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INSPECTION RECORD
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Plan check fee See reverse
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PLAN CHECK APPLICANT
NAME
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CITY TEL NO
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENTI APPROVALS DATE INSPECTOR 8 SIGNATURE
LAYING AIR CONDITI ONI NO
ROUGH
1 HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION
OF CHAPTER S DIVIS~ OF THE ESS AND PRO RE SIGNAL FINAL �7
CODE OF THE STAT F L11 O HI
SIGNATURE
OF PERMITTE PERMIT VALIDATIn. (CK M o cnsH
PLAN CHE VALIDATION C M o CASH
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