HomeMy Public PortalAbout5357 PARMERTON AVE_Mechanical__ L
76A.864C
CE 818 (REV 11/78)
�R APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
Y
COUNTY OF LOS ANGELES BUILDING AND SAFETY,
FOR APPLICANT TO FILL INIDCRE�S
UILDING C
(PRINT OR TYPE ONLY) ADDRESS
Q
NO TYPE OF APPLIANCE OR EQUIPMENT FEV
EAREST
ROSS ST
ABSORPTION UNIT BTU
WNER
AIR HANDLING UNIT CFM AIL
BOILER"BTU CITY TEL NO •�
COMPRESSOR BTU • OOO �Q CONTRACTO _ a
VENTILATION SYSTEM ADDRESS `p
EVAPORATIVE COOLER CITU TEL N06
FURNACE FAI.JiusoffN&IiTy STAT LIC
FLOOR U I LICENSE NO CLASS
HEATER SUSPENDED-UNIT .APPROVALS DATE INSPECTOR S SIGNATURE
WALL
1 TROUGH ���� O
V
INSPECTION RECO �
O
Plan check fee 25% of above
PERMIT ISSUING FEE$
' I TOTAL FEE ,
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS
CITY TEL NO ,
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL $Q 7,'3 A
ORDINANCES AND LAWS REGULATING HEATING VENTILATING AIR _
CONDITIONING ' - I PERMIT VALIDATION IAF,• •'• •'4 1
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL CODE _ �, Z J p p
OF THE STATE OF CAL FORNIA' . • •
SIGNATURE
OFPERMITTEE llVll\��� ' •� 3,',1ppU
DSTRICTNO PROCESSED BY I p 41_O q (1
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