HomeMy Public PortalAbout5116 C & D SERENO DR_Mechanical__ 7e 64€IC9 eleAT 9/77 APPLICATION FOR PERMIT
` HEATI VENTILATING - AIR CONDITIONING
NTY OF LOS AqOELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION Al
FOR APPLICANT TO FILL IN BUILDING
(POINT OR TYPE ONLY) ADDRE" ���
LOCALITY
NO TYPE OF APPLIANCE OR EQUIPMENT _ FEE NEAREST
CROSS ST
ABSORPTION UNIT BTU
OWNER Z
AIR HANDLING UNIT CFM MAIL
ADDRESS 9070 e~
BOILER BTU CRY �r C` TEL NO2C 7-39B7
COMPRESSOR BTU -tf- 000 1
OONTRACTOR t -
VENTILATION SYSTEM ADDRESS ,5— A(
73 T ,�{{
EVAPORATIVE COOLER CITY A G TEL NCM&_2382{
FURNACE FAU GRAVITY STATE LIC
FLOOR BTU .M000 LICENSE NO 3a2`sO0 CLASS20
HEATER SUSPENDED—UNIT— DISTRICT NO GROUP IONE SSED By
WALL ^
INSPECTION RECORD
PIOn check fee 25% of above
PERMIT ISSUING FEE; IL
TOTAL FEE
PLAN CHECK APPLICANT `
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
ORDINANCES AND LAWS REGULATING HEATING VENTILATING AIR
CONDITIONING
HEREBY CERTIFY THAT I AM NOT ACTING WVIOOF APPROWLR DATE IxSP iOR 551GNATURE
CHAPTER 9 DIVISION 3 OF THE SUSI ESS A PROODOF THE STATE OF CALIFORNIA ROUGH - 7SIGNATURE FINAL t..
OF PERMITTE
PLAN CHECK VALIDATION 'CK Mo CASH PERMIT VALIDATION cK Mo CASH
1 7 9APR 27 4 .1 0 *1 .0 0 ,&%