HomeMy Public PortalAbout9256 PENTLAND ST_Mechanical__ 1 iq I �� j 1o_mpre Qd-
TB A364_`CE E*B - GTI
— APPLICATION FOR PERMIT
' HEATIING - VENTILATING - AIR CONDITIONING
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COUNTY OF,LOS ANGELES BUILDING q� nt
DEPARTMENT OF COUNTY ENGINEER ` I, ADDRESS 9"
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7,77 77
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CRO55 ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
No TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 61
CITY TEL NO
ABSORPTION UNIT BTU
CONTRACTOR �' I
AIR HANDLING UNIT, CFM POO
ADDRESS , Q 9 Vl
BOILER, BTU
CITY N� TEL NO
COMPRESSOR, BTU STATE y- LIC
FENSE NO /O CLASS
VENTILATION SYSTEM TRICT No GROUP aNE ess ED By
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EVAPORATIVE COOLER - ,FURNACE FAUGRAVITYFLOOR BTU ' INSPECTION RE D HEATER �ASPEND D—UNIT_ / AMC' oV ' W
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heck fee 2S% of above Sc, rcvLrsl
PERVII I ISSUING FFE S 3 00
IOPAL MFF
CHECK APPLICANT
ESS TEL NO
EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
ALL ORDINANCES AND LAWS REGULATING HEATING VENTI APPROVALS DATE INSP TORS SIGNATURE
AIR CONDITIONING
ROUGH
HEREBY CERTIFY THAT I AM NOT ACTINO IN VIOLATION 01APTER 9 DIVISION 3 OF THE BUSINESS ANO PROFESSIONAL FINALOF THE STATE OF CALIFORTURE f PERMIT VALIDATION ex Mo CASH
ERMITTEE C
PLAN CHECK VALIDATION CK M D CASH
7 2 873, OCT 50 4 1 8 00g
BEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE y •/