HomeMy Public PortalAbout9084 OLIVE ST_Mechanical__ 76 X36+4 - CE 818 - 9-71 Al PLIC ION FOR MIT
HEATING - VENTILATING - Al 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 ,evI1sT�/'t
(PRINT OR TYPE ONLY).
MAIL
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS
CITY TEL. NO.
ABSORPTION UNIT, BTU
CONTRACTOR Q(/� LR+?D �IlNj�3�JV
AIR HANDLING UNIT, CFM ADDRESS 71
! 0 -7
BOIL-ER, BTU CITY 1'i�' TEL. NO.
COMPRESSOR, BTU STATE LI C. 3 3
LICENSE NO1:211 CLASS C J b
VENTILATION SYSTEM DISTRICT NO. GROUP ZONEPRO SSED BY
EVAPORATIVE COOLER >'
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FURNACE: FAU_GRAVITY v
FLOOR BTU INSPECTION RECORD
/ HEATER: SUSP DED UNIT_ C)
WALL, w
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N
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Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE 8 s 00
TOTAL FEE QQ
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
LLATING'A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCE LAWS REGULATING HEATING, VENTI- APPROVALS DATE INS CTOR'S SIGNATURE
R GOND ITNINGROUGH
EBY CE TIFY THAT I AM NOT ACTING IN VIOLATION If 1291^1
ER i DI 15.0N 3, THE BUSINES AND PROFESSIONAL FINAL r.�)I'lHE ST OF C F RNIA.RE ` PERMIT VALIDATION CK. M.O. CASH
ITTEE
PLAN CHECK VALIDATION CK. M.O. CASH
AP- 3 7 1 473, OCT 24 4 1 8,O 4 A r4