HomeMy Public PortalAbout5571 ROBINHOOD AVE_Mechanical__ r
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m� AP CATION FOR PE T
HEATING - VENTILATING - Al ONDITIONING
COUNTY.OF LOS ANGELES BUILDING.AN FETY
FOR APPLICANT TO FILL IN BUILDING /— O 6
(PRINT ORTYPE ONLY)' ADDRESS J
LO C AL rrY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
ROSS ST. U
ABSORPTION UNIT,BTU
OWNER r I C,- .
AIR HANDLING UNIT,CFM MAIL
ADDRESS ' J
OILER,BTU CITY /e h f'7' TEL NO. 7 6y
COMPRESSOR,BTI 9'4 �- CONTRACTOR
VENTILATION SYSTEM
' ADDRESS
EVAPORATIVE COOLER Gn-1' TEL NO.
FURNACE: FAIT GRAVITY S ATE v LIC.
FLOOR BTU .Q LICENSE NO. CLASS
HEATER: SUSPENDED UNIT_ Apy� DATC INSPECTOR'S 5IGIUTU Rf
W
ROUGH
92 12
FINAL
INSPECTION RECORD V
Plan check fee 25% of above.
KW ISSUING FEE$
TOTAL FEE
PLAN CHECKAPPLICANT.
PLAN CHECK VALIDATION•
NAME I.
ADDRESS Ss
CffY TEL NO.YIY3
I HEREBY ACMKAGE HAT I HAVE READ HIS AIiPLJCATION AND _
STATE THAT HES CORRECT AND AGREE TO COMPLY WITH ALLnORDINANCES REGULATING HEATING, VENTILATING, AIR _ �' 0 1 f1
CONDITIONING., '
NOT ACTING PERMIT VALIDATION
CHAPTEREREBY CERTIFY 9. DMS ON S, OFT I HE B SINESS DROFESS OVAL CODE ' ro• 4 1
OF THE STATE OF ORNIA. _ -- - .r1 A,o r7,O O
SIO NATURE .f
OP PE RM ITTEE -• n 7
DLSIR)CT NO. m B
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