HomeMy Public PortalAbout6390 OAK AVE_Mechanical__ 76 A364 r C1 'eB — 9-71
APPLICATJON FORPE
HEATING - VENTILATING -
AIR NDITIONING
39439
C. UNTY 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) '
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESSfqA4,qje_j
CITY TEL. NO '?I 'n�-
ABSORPTION UNIT, BTU
AIR HANDLING UNIT, CFM /
ADDRESS I
BOILER., BTU CIT TEL.` ��
COMPRESSOR, BTUIIJ`' TATE LIC.
LICENSE NO. CLASS �—
VENTILATION SYSTEM DISTRICT NO. GROUP ZONEESSED BY
EVAPORATIVE COOLERit, >m:
r
FURNAE: FAU_GRAVITY V
C
FLOOR ' BT INSPECTION RECORD
HEATER: SUSPENDED'11 UNIT_ CD
WALL v
LTJ
CnGn
Plan check fee 25%of above. See reverse.
PERMIT ISSUING FE
TOTAL FEE -
.PLAN CHECK APPLICANT
NAME .
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
L
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
IR CONDITIONING. ROUGHEBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
R 9, DIVISION 3, OF HE BUSINESS AND PROFESSIONAL FINALHESTATE OF CARE i P RMIT VALIDATION CK. M.O. CASH
ITTEE f
PLAN CHECK VALIDATION CK. M.O. C1SH
3 11 9-JAN 27 4:1 D 3 4.5 0 g
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE