HomeMy Public PortalAbout5002 RIO HONDO AVE_Mechanical__ '76r A•3'84E(C5 81 BA)-9/77 APPLICATION R®® PERMIT
@®MIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS a�J iY
LOCALIT4
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST. �G�
ABSORPTION UNIT,BTU
OWNER
AIR HANDLING UNIT,CFM ^ MAIL
/
OD L`�C�C7 ADDRESS BOILER,BTU
CITY TEL N0.7/�
COMPRESSOR,BTU
CONTRACTOZ
VENTILATION SYSTEM ADDRESS ` J
EVAPORATIVE COOLER CITY •/� TEL.N_ //•.�.
FURNACE: FAU-GRAVITY ST E ���j
FLOOR BTU L NSE NO. •J CLASS ^J 3 .
HEATER: SUSPENDED UNIT- DISTRICT NO. P `E/ YOCESSED BY
WALL
INSPECTION RECORD
V
OC
Plan check fee 25% of above. m
PERMIT ISSUING FEE$ ull
TOTAL FEE —
PLAN K APPLICANT
NAME r i
ADDRESS/e/ `Sd ,/
CITY- � X TEL. i _3:,
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND `
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS TING HEATING, VENTILATING, AIR
CONDITIONING.
I HEREBY CERT THA I NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIG TURE
CHAPTF, 9, DIVI 3, OF TH S ESS AND PROFESSIONAL CODE n
OFTHESTA A ROUGH v
SIGNATURE " FINAL 1_2a--
Ar
PERM ITTE J_
PLAN CHECK V M.o. PERMIT VALIDATION cK." M.o. CASH
8 9 3-JUL 2 5 4 U 2 7.0 0 At.-t-1
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