HomeMy Public PortalAbout6018 OAK AVE_Mechanical__ 76 Aa64,- Cl'819 - 9 71 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS O E�
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST /Q
FOR APPLICANT TO FILL IN OWNER ♦ �� ��
(PRINT OR TYPE ONLY)
MAI L
NO TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS
CITY TEL NO
ABSORPTION UNIT BTU /
CONTRACTOR
AIR HANDLING UNIT CFM +�
ADDRESS f
BOILER BTU CITY TEL N07
COMPRESSOR BTU STATE LIC (�
LICENSE NO CLASS C7(0 20
VENTILATION SYSTEM DISTRICT NO GROUP ZONE PR �ESSED BY—
EVAPORATIVE COOLER
FURNACE FAU—G VITY INSPECTION RECORD
FLOOR BTU
HEATER SUSPE ,WD—UNIT—
WALL
D UNIT_
WALL v
W
a
N
Z
Plan check fee 25% of above See reverse
PERMIT ISSUING FEE S Q,
TOTAL FEE Q
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 A AWS REGULATING HEATING VENTI APPROVALS DATE INSPE OR 9 SIGNATURE
EATING AIR Co
ITIONI
ROUGH
1 HEREBY CERTIFY THA I AM NOT TING IN I ION
OF CHAPTER 9 DIVISIO 3 THE BUSIN AND RO 10 AL FINAL 4
CODE OF THE STATE OF LI 0 NIA
SIGNATURE PERMIT VALIDATION 0 M o CASH
OF PERMITTEE
PLAN CHECK VAL DATION CK M o CASH
At; 1tAN 3 44 • 12.0 o .sd
SEE BACK OF APPLN:ATION FOR COMPLETE FEE SCHEOULE