HomeMy Public PortalAbout4931 ROBINHOOD AVE_Mechanical__ 78_{364.- £E 616-1175
• APPLICATION,-FOR PERMIT
HEATING - VENTILATING.- AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
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DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY /- `
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NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT.OR TYPE ONLY) Nj
MAIL
TYPE&SIZE OF EQUIPMENT
NO. FEE ADDRESS
SEE BACK OF APPLICATION r3 ��
CITY TEL. NO.
FORCE AIR FURNACE, BTU
CONTRACTOR
COMPRESSOR, BTU .
ADDRESS.y V U t
VENTILATION FAN CITY TEL. NO.
LIST ALL OTHERS BELOW STATE LI C.
LICENSE NO. 1 I-Am- CLASS
OIST ICT NO. GROUP ZONE4;ZED BY
INSPECTION RECORD
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Plan check fee. See reverse. z
PE11111IT ISS11[\.G FL:1-: S. o
TOTAI. FEE s f
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PLAN CHECK APPLICANT
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 t1`
WITH ALL ORDINANCES AND'LAWS REGULATING HEATING,, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONIN I
ROUGH
I. HEREBY CERTIFY HA A NOT ACTING IN VIOL TION
OF CHAPTER 9, DIVISI 3, F THE BUSINESS D PROFESSI NAL FINAL
CODE OF THE STATE CA IFORN .
SIGNATURE PERMIT VALIDATION.
OF PERMITTEE CK. M.O. CASH
PLAN CHECK VALIDATION : CK, M.O. CASH
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