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HomeMy Public PortalAbout6224 ROWLAND AVE_Mechanical__ 76A984E-a J.p1801131'9/75 APPL ATION FOR .PERMIT HEATING - VENTILATING - AIR CONDITIONING BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING _ AV 9--(PRINT OR TYPE ONLY)- ADDRESS LOCALI NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST CROSS ST. - ABSORPTION UNIT, BTU OWNER ' AIR HANDLING UNIT, CFM MAIL ADDRES a BOILER, BTU CITY TEL. NO. COMPRESSOR, BTU CONTRACTOR VENTILATION SYSTEM ADDRESSO1,Gt - vt� EVAPORATIVE COOLER CITY inbLLn TEL. NO. `C) FURNACE: FAU_GRAVITY STATEC LIC. FLOOR BTU LICENSE NO. � �'ti� CLASS C-,53 a HEATER: SUSPENDED UNIT_ DISTRICT NO. ROUP1: ZONE EBBED BY C7 WALL - � v U INSPECTION RECORD L,,I 6 S 2C Plan check fee 25% of above. PERMIT ISSUING FEE $ TOTAL FEE PLAN CHECK APPLICANT NAME ."I ADDRESS P It rf h1 _ CITY TEL.NO. 1 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, VENTI- LATING,AIR CONDITIONING. APPROVALS DATE INSPE TOR' SIGNATURE ' I HEREBY 'CERTIFY T I'GIA NOT ACTING IN VIOLATION \ jT%R OF CHAPTER •S, DI VIS 3, HE SINESS AND PROFESSIONAL CODE OF THE STATE 0 CALI RROUGH 1 SIGNATURE g FINAL r OF PERMITTEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION' 'M-of CASH 76A314E (OE?•61BA)-11/76 APPLICATION FOR PER T HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING ''// ' (PRINT OR TYPE ONLY) ADDRESS �� Q' /(f� p LOCALITY A� C NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST �y� CROSS ST: ABSORPTION UNIT,BTU OWNER /' AIR HANDLING UNIT,CFM MAIL ADDRESS �Z-Z/ .17 vG BOILER,BTU CITY /A C$ TEL.NO.286-01,61 !! COMPRESSOR,BTU CONTRACTOR w�y�� L '/ VENTILATION SYSTEM ADDRESS SO r /V(J (� EVAPORATIVE COOLER CITY ,J C/ TEL.NO. - �tS^� FURNACE: FAU-GRAVITY L CAENSE NO. �i S GZG3 LIC.CLA �S� FLOOR BTU. II HEATER: SUSPENDED UNIT- DISTRICT NO. GROUP ZONE ROCE DBY WALL )e./ .y a INSPECTION RECORD 8 y 0 Plan check fee 25%of above. PERMIT ISSUING FEE$ Z TOTAL FEE S PLAN CHECK APPLICANT NAME d0L ADDRESS CITY3pl TEL.NO. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORQJNANCES AND LAWS REGULATING HEATING, VENTILATING, AIR CONDITIONING. I HEREBY FY THAT M NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE CHAPTER 9, DI SION 3, OF THE B SIN PROFESSIONAL CODE OF THE.STATE ROUGH CALIF RIMA. /7 SIGNATURE OFPERMITTE FINAL w - v ,�PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO M.O. CASH 20011-1AUG J.:') 41. © 1 5.75 ®s