HomeMy Public PortalAbout5542 PAL MAL AVE_Mechanical__ T�
CE •IS IRrv•/T•1
�. APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING `
(PRINT OR TYPE ONLY) ADDRESS.,/
Y y/
NO TYPE OF APPLIANCE OR EQUIPMENT FEIADDRES22���JF'Vf4 LOCALITY/aurplc
NEAREST
CROSS
ABSORPTION UNIT BTU
OWNER
AIR HANDLING UNIT CFM MAIL {�
BOILER BTUCn'Y` �P• TEL NO
COMPRESSOR BTU CONTRACTOR
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CRY TEL NO
FURNACE FAU_GRAVT' STATE LIC
FLOOR BTU LICENSE NO CLASS
HEATER SUSPENDED_UNIT_ AIPIIOVALS DATE INS( OA S SWXXTURE
WALT ✓
000 fROUGHP11,( CE
INSPitTIONRECO10 ,117V
OE
O
Plan check fee 25%of above
PERMIT ISSUING FEE$ 1 7
TOTAL FEE O
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS
CITY TEL NO
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND $ 5 6
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATINGAEG VENTILATING AIR
CONDITIONING PERMIT VALIDATION • • Q
LATION OF
CHAPTERS 9S DN SI 3 OF TRE BUSINPROFESBY CE AT I AM NOT TING IN S L CODE # • • • 4
OF THE STATE OF FORNIA r�
SIGNATURE / - I L • 5 Q
OG PERM( ����L/ • P� Z
DISTRICT RO PROCE BY CAI • • • • • 3Q as
a'og R�RODe,4�ea p 11.307
CO O O A
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