HomeMy Public PortalAbout4923 RYLAND AVE_Mechanical__ 9
7 Lac
118(REV.11/78)
®s --A. LICATION FOR PER IT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDINGAAND SAFETY
FOR APPLICANT TO FILL IN BUILDING `-
(PRINT OR TYPE ONLY) ADDRESS
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY 7-;*-,,I
NEAREST
CROSS ST. (1/t.��L► Q �p� �jstF-�
ABSORPTION UNIT,BTU /
OWNER
AIR HANDLING UNIT,CFM MAIL v
ADDRESS
BOILER,BTU CITY 1~ TEL.NO.' "/ •736
COMPRESSOR,BTU o CONTRACTOR �J
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY TEL.NO.
FURNACE: FAU GRAVITY STATE V LIC.
FLOOR BTU �" gg 1) /� LICENSE NO. CLASS
HEATER: SUSPENDED UNIT_ APPROVALS DATE IN PECTOR'S SIGNATURE
WALL
ROUGH r
FINAL ®"
INSP C ION RE ORD @!
I—
u
Plan check fee 25%of above. CL
PERMIT ISSUING FEE
TOTAL FEE Z�
PLAN CHECK AP LICANT PLAN CHECK VALIDATION
NAME
ADDRESS. I
CITY TEL.NO.
6 6 6 1 A
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL # 0 0 0 0 [) 1
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR
CONDITIONING. 1 PERMIT VALIDATION , 2 0 - 27.00
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE
OF THE STATE OF CALIFORNIA. I o'.o o 27,005
SIGNATURE -can "
OF PERMITTEE 09. 1 3-7.9
DISTRICT NO. PROC BY
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