HomeMy Public PortalAbout10627 ROSEGLEN ST_Mechanical__ CR-S1•nWV.e/M) '
m� APPLICATION FOR PERMIT
HEATING -'.VENTILATING AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
BUILDING
FOR APPLICANT TO FILL IN�
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(PRINT OR TYPE ONLY)
NO. TYPE OF APPLIANCE:OR EQUIPMENT FEE
ABSORPTION UNIT,BTU
. , . . OWNER
AIR HANQLING UNrr.CFM MAIL 10672 D,-,segl�,
'
ADDRESS.
llV�/G lY✓ ci+
BOILER-BTU CTTY e citi, TEL NO.4445489
COMPRESSOR,BTU 3 hD 10' CONTRACTORTrane 7,� H
CC
VErITILATION TE
SYSM ADDRESS ,2034 N. Peek
EVAPORATIVE COOLERGIT' TEL NO.5797982
FURNA1 . FLOORCE: FAU TU 10. LICETE LIC.
NSE No265CLAS
S c-20
HEATER:. SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S SIGIUTURE
WAII
ROUGH
FINAL L 0
INSPE43TION RFCORD. V
t�vt
Plan check fee 25% of abgvo.
PERMIT ISSUING.FEE$ 7.00
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PLAN CHECK APPLICANT '�
PLAN CHECK VALIDATION
NAME
ADDRESS
CnY TEL NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THLS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Wmi ALL
ORDINANCES AND LAMS REGULATING HEATING, VENTILATING. AIR
CONDITIONING. PERMIT VALIDATION
I HEREBY CERTIFY THAT IAM NOT ACTING IN VIOLATION of 3.1 '7�5A-
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE
OF THE STATE OfCAUF MIA #•o o'o•0'41
SIGNATURE
bP PERMITTEE 2'o O 4 T0 0
pL9TRICT NO. it
0o.o47A00,6
0 3 1 2-7-9
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