HomeMy Public PortalAbout5415 SANTA ANITA AVE_Mechanical__ 76A364C V
CE-818(REV.11/78)
®� APPLICATION FOR PERMIT
HEATING - VENTILATING.- AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR.APPLICANT TO FILL IN 7ADDRE!s�,
(PRINT OR TYPE ONLY)NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
ABSORPTION UNIT,BTU
OWNER
O
AIR HANDLING UNIT,CFMM AIL
�-
ADDRESS
BOILER,BTU CITY T6
COMPRESSOR,BTU CONTRAC OR O
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY TEL NOL��
FURNACE: FAU G VITY STATE LIC.
FLOOR BTU Aj. LICENSE NO. CLASS d
HEATER: SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
ROUGH 7 }
FINAL ��L�� 7 00
INSPECTION RECOND IN
Plan check fee 25% of above.
PERMIT ISSUING FEE$ 71 Z
TOTAL FEE '
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS
CITY TEL.NO.
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ;R_8 1 V3 A
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING„ 'AIR
CONDITIONING. PERMIT VALIDATION �$ o o o o'4
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
CHAPTER 9, DIVISION 3,-OF THE BUSINESSAND PROFESSIONAL-M 2 0 0 1 7.00
OF THE STATE LIF RNIA.
S IGNATUR 0 0 0 7 /�',/1if v
OFPERMI 1,C.
DISTRICT NO. PROCESSED BY ;r 1 2,05-79
0
,O5-79
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