HomeMy Public PortalAbout6320 SALTER AVE_Mechanical__ 7GA364C
CE-818(REV.6/78)
Its'. APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING .
COUNTY OF LOS ANGELES BUILDING ANDj,$4Y
FOR.APPLICANTTO FILL IN'- BUILDING
(PRINT OR TYPE ONLY) ADDRESS .
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST.
ABSORPTION UNIT,BTU '
OWNER
AIR HANDLING.UNIT,CFM MAIL
ADDRESS
BOILER,BTU
CITY TEL.NO.. 7r 7
COMPRESSOR,BTU (J
CONTRACTOR�s
�'
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY 2 TEL.NO�,2 3
FURNACE: FAU GRAVITY ! STATE, LIC.
FLOOR BTU LICENSE NO. CLASS
HEATER: SUSPENDED •UNIT- APP'ROVAL.S 'DATE - INSPECTOR'S SIGNATURE
WALL
ROUGH
FINALff
®°
X. •INSPECTION RECORD
B4
Plan check fee 250/6 of above. .0al,.
Ub
PERMIT ISSUING FEE$.
TOTAL FEE
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME /i�
ADDRESS
P3 7.7
CITY TEL,NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT'THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL -2 5 2 7,6 A
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, 'AIR
CONDITIONING. PERMITVALID'ATION' # O•o•o O 41
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION,OF
CHAPTER 9, DIVISION 3, THE BUSINESS AND PROFESSIONAL CODE
OF THE STATE OF CAL 2 A -2-7..00
SIGNATURE -
OFPERMITTEE O'o -27.(j 0 5
DISTRICT NO. CESSED BY
07,06-79
U o° .