HomeMy Public PortalAbout6537 OAK AVE_Mechanical__ S 8 8
CE- (AEV
®s APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
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FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS
ABSORPTION UNIT,BTU
OWNER '
AIR HANDLING UNIT,CFM MAIL
ADDRESS +/�2 �J ♦�
BOILER,BTU gam,^ f� CITY TEL.No
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COMPRESSOR,BTU C F6 01 /�+ CONTRACTOR
VENTILATION SYSTEM ADDRESS��
EVAPORATIVE COOLER CITY TEL.Nj2W212�
FURNACE: FAU G ITY O STATE LIC. r+�®
FLOOR BTU OO LICENSE NO. . CLASS ll��
•HEATER: SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE
WALL n
ROUGH Cie
FINAL1p- /dv I
INSPECTION RECORD
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C�
Plan check fee 25% of above.
i
PERMIT ISSUING FEE$
TOTAL FEE
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME Azo�.dL �� 1
ADDRESS &4-2`
CITY TEL.NO. o•G /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND F O 4 3 n
A
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING. VENTILATING. AIR
CONDITIONING. PERMIT VALIDATION # o a o o 4 1
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
CHAPTER 9. DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE 2 0 0 2 7 Q Q
OF THE STATE OF A NIA.
SIGNATURE
OF PERM ITTE �L
DISTRICTNO. PROCESSED BY o 522-80