HomeMy Public PortalAbout5409 ROBINHOOD AVE_Mechanical__ 76A864E ICE BA) 1•.x/76 APPLICATION FOR PERMIT
f�
HEATING - VENTILATING - AM CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY,D[VISION
FO_ R APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS _Q
LOCALIT
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST-
CROSS ST.
ABSORPTION UNIT,BTU
OWNE
AIR HANDLING UNIT,CFM MAIL
ADDRESS/
BOILER,BTU CITZ-Z4e ZZZ TEL.N
COMPRESSOR,BTU CONTRACTOR Y�
VENTILATION SYSTEM ADDRESS
•
EVAPORATIVE COOLER CITY TEL.N
FURNACE: FAU_GRAVITY
FLOOR BTU S CENSE NO. l CLAS
HEATER: SUSPENDED UNIT- DISTRICT NO. GROUP ZONE PRO SSED BY
WALL
Sr INSPECTION RECORD 6
�' u
O
Plan check fee-25% of above.
PERMIT ISSUING FEE$
TOTAL FEE alb
PLAN CHECK APPLICANT
NAME
ADDRESS '
L. CITY TEL.NO: Wlv"r1
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION AND v �`
` STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES -AND LAW REGULATING HEATING, VENTILATING, AIR
CONDITIONING.
I HEREBY CE I THAT I AM NOT IN VIOLATION OF APPROVALS DATE INSPECT OR'SSIGNATURE
CHAPTER 9, DIV 3, OF THE USI. SRO SSIONAL CODE J q
OFTHE STATE OF LIFORNIA. ROUGH
SIGNATURE FINAL i
OF PERMI
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK ALIDAT N CK. CASH
2 0 7r'-NOV 17 41 D
®s