HomeMy Public PortalAbout5521 RYLAND AVE_Mechanical__ 76A364C .
CE-818(REV.11/78)
®s APPLICATION +FOR PERMIT
HEATING - VENTILATING '- 'AIR CONDITI.ONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) i1DDRE$S 5. Al, �M .
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST�- " �'
CROSS ST.
ABSORPTION UNIT,BTU
OWNER
AIR HANDLING UNIT,CFM MAIL' '
ADDRESS LSI
BOILER,BTU CITY TEL.NO
COMPRESSOR,BTU 9z&V CONTRACTOR
VENTILATION SYSTEM
ADDRESS
EVAPORATIVE COOLER CITY TEL.NO.
FURNACE: FAU GRAVITY STATE LIC.
FLOOR--BTU LICENSE NO. CLASS
HEATER: SUSPENDED-UNIT-
WALL
USPENDEDUNIT_WALL APPROVALS DATE INSPECTOR'S SIGNATURE
ROUGH
6
FINAL
' INSPECTION RECORD
Plan check fee 25%of above.
PERMIT ISSUING'FEE$
TOTAL FEE
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS
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, VENTILATING, AIR
CONDITIONING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF z 5 9 0.8 A
CHAPTER 9, DIVISION 3, OF THE BUSINE59NAND PROFESSIONAL CODE
OF THE STATE OF CALIFORNIA. # o o a o 4 1
SIGNATURE
OF PERMITTEE 2 a - 2700
DISTRICT NO. PROCE BY.
o o o 27,000
08,02-79 '