HomeMy Public PortalAbout9465 PENTLAND ST_Mechanical__ 7a"64EICE R•pn ai•z APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT�TO FILL IN BUILDING L
(PRINT OR TYPE ONLY) ADDRESS o
LOCALITY
NO TYPE OF APPLIANCE OR EQUIPMENT FEE 04
NEAREST
ABSORPTION UNIT BTU
/`-' CROSS ST
OWNER
AIR HANDLING UNIT CFM MAIL
ADDRESS
BOILER BTU CITY TEL NO
COMPRESSORBTU
CONTRACT R
VENTILATION SYSTEM ADDRESS '
EVAPORATIVE COOLER CITY TEL NO
FURNACE FAU GR ITV //� STATE LIG
FLOOR BTU �� L LICENSE NO - CLASS
HEATER SUSPEND9D_UNIT— DISTRICTNOGROUP ZONE PROCESSED BY
WALL
INSPECTION RECORD
O
Plan check fee 25% of above
d
PERMIT ISSUING FEE; 7
TOTAL FEE 77
PLAN CHECK APPLICANT•
NAME
ADDRES
CITY l TEL
I HERE W
ACKNOLEDGE TMA HAVE READ THIS-APPLICATION AND •� - 4
'STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL .—
ORDINANCES AND •1-AWS REGULATING HEATING VENTILATING AIR
CONDITIONING
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS D INSPECTOR>04 ATURE
CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL CODE
OF THE STATE OF CA ORNIA ROUGH
`SIGNATURE FINAL • '
OFPERMITTE
PE RM IT VALD'ATION— - CK � AMo�'K.�. ;n- f
PLAN CHECK VALIDATION CK Mo CASH �"' ti.CAS.
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9,8 9 APR 18 Q y U 22 7.Q 'Au
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