HomeMy Public PortalAbout9431 PENTLAND ST_Mechanical__ 16A36/C ,•
CE-818 (REV 11/78) `
m, 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 -
LOCALITY
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST
ABSORPTION UNIT BTU
OWNER
AIRHANDLING UNIT CFM MAIL
ADDRE •
BOILER BTU CITY TEL NO
COMPRESSOR BTU ' CONTRACTOR
VENTILATION SYSTEM
ADDRESS
EVAPORATIVE COOLER
C ITV TEL NO
FURNACE FAUGRAVITY STATE LIC
FLOOR BTU LICENSE NO CLASS
1 HEATER SUSPE ED_UNIT_ APPROVALS DATE
WALL ' IxSPECTOBsslcxniunE
ROUGH
I ♦ y p,
FINAL O
V
' INSPECTION RECOR pp
O
Plan check fee 25% of above ,
PERMIT ISSUING FEE;
TOTAL FEE
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS r ,
CITY TEL NO r
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND 1
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY.WITH ALL Q1q 1"Q,`IA
ORDINANCES AND LAWS REGULATING HEATING VENTILATING AIR r
conDlTlonlNG PERMIT VALIDATION
# •I • 41
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATIONr OF � r
CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFE ZONAL CODE
OF THE STATE O ORNIA A I2 • • I ,O O
SIGNATURE
OF PERMITTEE • ' ' I• • • 117'T O 05
DISTRICT NO PROCESSED BY '
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