HomeMy Public PortalAbout6259 RENO AVE_Mechanical__ ' 78 A984- CE.818- 5-73
APDL TION FOR PERMIT
` HEATING - VENTILATING - AIR CONDITIONING.
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT .OF COUNTY ENGINEER ADDRESS ✓_1
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS ,S
CIT TEL. NO.
ABSORPTION UNIT, BTU
CONTRACTO
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU 31K. ft
CIT TEL. NO.o tD -
COMPRESSOR, BTU STATE LIC. _5
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. OUP 20NE PRO SEED BY
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EVAPORATIVE COOLER
FURNACE: FAU_GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT_
WALL
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Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE 8 3 '00
TOTAL FEE
PLAN CHECK APPLICANT
1
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LAYING,AIR CONDI T ZONING. '
'
'I HEREBY ROUGH
CERTIFY THAT 1 AM NOT ACTING -IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL. FINAL �QY../ � �-��
CODE OF THE STAT CALIFORNIA.
s1GNATURE PERMIT VALIDATION CK. M.O. CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK. M.O. CASH
6 2'6 JUN 20 1 0.5 0 e�
SEE BACK OF.APP.LICATION FOR COMPLETE FEE SCHEDULE -