HomeMy Public PortalAbout5018 PAL MAL AVE_Mechanical__ 76A364C VIING
CE-818(REV.11/78) APPLICAFOR PERMHEATING - VENTIL AIR C ITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
(PRINT OR TYPE ONLY) r o
' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY v v 4
NEAREST ,r;+
CROSS ST.
ABSORPTION UNIT,BTU '
OWNER S
AIR HANDLING UNIT,CFM MAIL /
ADDRESS..- M
BOILER,BTU CITY L NO.
COMPRESSOR,BTU CONTRACTO
VENTILATION SYSTEM p
ADDRESS
EVAPORATIVE COOLER /
CITY � TEL.N �� r
FURNACE: FAU GRAVITY STATELIC.
FLOOR BTU LICENSE.NO. / y CLAS
HEATER: SUSPEN D UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE
ROUGH
FINAL Il .KQ ((_e0O
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G101 ( INSPECTION RECORD 09
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Plan check fee 25%of above.
PERMIT ISSUING FEE$
TOTAL FEE'
PLAN AECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS
CITY TEL.NO. C !1
R
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND S 4 a 9
STATE THAT THE A�BOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES IQD LAWS REGULATING HEATING, VENTILATING, AIRto - 41
CONDITIONI G. PERMIT VALIDATION
I H EBY CE. IFY THAT I AM N C IN VI CATION OF 2.0 0 1 7.00
CHAPT 9, DIVIS 3, OF TH6`•BUSI SS A D ROFES ONAL CODE
OF TH STATE OF IIF NIA. 0 0 0 7,0050
SIGN TURE
OF P RMITTEE 0103-80
DISTRICT PROCE$9 D BY