Loading...
HomeMy Public PortalAbout5164 SERENO DR_Mechanical__ - N 76 A3 A'=CE 818.117! l A LIGATION FOR IT •� HEATING - VENTILATING - A ONDI1IONING �) COUNTY OF LOS ANGELES 4EAA ILDDREss O. E•(iC7 !/�� DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONCALITY AREST osssTFOR APPLICANT TO FILL INNER (PRINT OR TYPE ONLY) •MAIL 7 /JJ /' NO TV PEa SIZE OF EQUIPMENT FEIMA DRESS J ��.(� �iW�s� SIP", SEE BACK OF APPLICATION Y TEL NO -/ FORCE AIR FURNACE BTU/,S'-900a- / L CONTRACTOR L- 1A"y / COMPRESSOR BTU !/ ADDRESS VENTILATION FAN CITY TEL NO,5­7 _e,<73 LIST ALL OTHERS BELOW STATE LIC LICENSE NO 3 CLASS e2`ZD OiSTRICY NO GROUP LONE OC ED By sob z - INSPECTION RECORD i2'/O — Lo�nT/mAL .D ucjs ok —.v�+p a 1 O FiLCLT y- Awl AZOr[�-T/OAU O w O U W a Plan check fee See reverse IUM III PLAN CHECK APPLICANT NAME ADDRESS CITY TEL NO I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALLORDINANCES AND LAWS REGULATING HEATING VENII APPROVALS DATE INSPECTORS SIGNATURE LATINO AIR CONDI TI ON I NO ROUGH HEREBY CERTIFY T 1 PM NOT ACTING IN VIOLATION -� OF CHAPTER G DIVISION 3 OF THE BUSINESS AND PROFESSIONAL SINAL CODE OF THE 9TITC OI C RNIA SIGNATURE RMI T VALIDATION C,, M O cASH OF PERMITT PLAN CHECK VALIDATION cK M D CA$N 2 A n�- rfO 41 0 2 32 5 e�j8