HomeMy Public PortalAbout4835 ROBINHOOD AVE_Mechanical__ a 18 01.11/76
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING JJ
(PRINT OR TYPE ONLY) , ADDRESS (f(I
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITYftp
NEAREST
ABSORPTION UNIT.BTU BUILDING
ST. eo��
OWNER 77;e,4�14- Vr- 414 Z,'#,,4
AIR HANDLING UNIT,CFM MAIL
BOILER,BTU !ADDRESS
CITY r:;.4,,, TEL NO.
COMPRESSOR,BTU_ CONTRACTOR'
VENTILATION SYSTEM ADDRESS
'41e
o7—
e��
EVAPORATIVE COO ER C;-eg,In p TEL.NO..70 Wly
LIC
FURNACE: FAU A GRAVITY STATE
FLOOR—BTU =—Z-- LICENSE NO. C4sz
HEATER: SUSPENDED—UNIT— DISTRICT NO, GROUP ZONE P CESSED BY
WALL
INSPECTION RECORD
0
u
0 1
0
Plan check fee 25%of above.
PERMIT ISSUING FEE$
TOTAL FEE 9 ISO z
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
IHEREBY 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, VENTILATING, AIR
CONDITIONING.
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE
.CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE
OF THE STATE OF CrNIA. ROUGH
SIGNATURE
CIFPERMITT FINAL 2
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION�p& M.0. CASH
4 1 5-r--UGT 12 4 1 0 19.50Az;fj
8s
76M64C
CE-818(REV.11/78)
®s APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDIN
(PRINT OR TYPE ONLY) ADORES
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY
NEAREST
CROSS ST-
ABSORPTION
.ABSORPTION UNIT,BTU
OWNER
AIR HANDLING UNIT,CFM MAIL
ADDRESS
BOILER,BTU CITY TEL.N .
COMPRESSOR,BTU CONTRACTO
LIS
VENTILATION SYSTEM ADDRESS ~
as
EVAPORATIVE COOLER CI Y TEL.N .
FURNACE: FAU GRAVITY STATE LIC.
FLOOR BTU LICENSE NO. CLASS
HEATER: SUSPENDED UNIT_ APPROVALS DATEI P 36
R'S SIGNATURE
WALL
ROUGH
FINAL Y O
INSPECTION RECORD I A)4F 0
(01 FV u
Plan check fee 25%of above. 9L
PERMIT ISSUING FEE$ -7 C—v
TOTAL FEE .7 Cv
PLAN CHECK APPLICA PLAN CHECK VALIDATION
NAME t n /� l.�C� L 6
ADDRESS -n -t rnas 'y1�0
G ; �.� r� y � � � 3
CITY TEL.NO.
a
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, VENTILATING, AIR
CONDITIONING. PERMIT VALIDATION `6 1 Q 5 A
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
CHAPTERIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE �1 o o 0 o 4 1
OF THE STAT CALIFO
SIGNATUR 2 2 2 0 0
OF PERMI E !/11 f�11
DISTRICTNO. PROCESSED BY 0 0 0 2 Z O O?.
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0 0817-79