HomeMy Public PortalAbout5417 SANTA ANITA AVE_Mechanical__ •76A`364C'
CE-818(REV.11/78)
®s APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST f
CROSS ST.
ABSORPTION UNIT,BTU
OWNER e a Cj
AIR HANDLING UNIT,CFM MAIL
ADDRES
BOILER,BTU CIT a ,1 TE /
COMPRESSOR,BTU CONTFA6fOR4 w
Y
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY A r 2 TEL.
FURNACE: FAU A GRAVITY STA LIC.
FLOOR BTU LICENSE NO CLASS
HEATER: SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
ROUGH
FINAL ji
0
INSPECTION COR13
O
Plan check fee 25%of above. 9
PERMIT ISSUING FEE$
TOTAL FEE
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS
CITY TEL.NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL H 1 1. A
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR
CONDITIONING. PERMIT VALIDATION # o 0 o,o 4 1
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROCESSIONAL CODE
OF THE STATE ORNIA. 2 ° o 1 7, 00
SIGNATUR '7
OF PERMI EE o o o 1 /,0 C U
DISTRICT NO. PROCESSED r 1 205-79