HomeMy Public PortalAbout9843 OLIVE ST_Mechanical__ 76 A364 "6E'"818'- 9-71
APPLIC ION FOR efRMIT
HEATING - VENTILATING -"AIR CONDITIONING
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)
MAIL
NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS
ei CITY EL. NO.,q_Sra j?'R,
ABSORPTION UNIT, BTU
CONTRACTO
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU CITY TEL. NO.
COMPRESSOR, BTU CZ.3 4-&-D `jQ STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE ESSED BY 1
EVAPORATIVE COOLER
FURNACE: FAU_GRAVITY C7
FLOOR BTU INSPECTION RECORD v
HEATER: SUSPENDED UNIT_ / O
WALL CL
Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE S s 00
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
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'S SIGNATURE
LATING,AIR CONDITIONING.
ROUGH
I HEREBY CERTIFYAT I AM NOT ACT NG IN VIOLATION 11
OF CHAPTER 9, DIVISIOOF THE BUSINESS P OF SIONAL ' FINAL _
CODE OF THE STATE�0!1J_YZA_� OR NIA.
I SIGNATURE PERM T VALIDATION CK� M.O. CASH
OF PERMITTEE In- i ' ,
PLAN CHECK VALIDATION CK. M.O. CASH
19('`.,2 2 39A
JL 1 7 4 1 D 8. Q v
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE