HomeMy Public PortalAbout5114 SULTANA AVE_Mechanical__ 76 A 36 - CEO16- 6-73
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BU
LDIN
DEPARTMENT OF COUNTY ENGINEER ADDRESS .t I II04'a
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CRO55 ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL R
NO YPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL NO
ABSORPTION UNIT, BTU _
CONTRACTS
AIR HANDLING UNIT, CFM
ADDRESS
BOILER BTU
CIT
COMPRESSOR BTU STATE LIC �p
LICENSE NO (J CLASS C.r
VENTILATION SYSTEM DISTRICT NO GROUP zanE PRocE9slo BY
EVAPORATIVE COOLER B �_
f
FURNACE FAUGRAVITY
FLOOR BTU INSPECTION RECORD
HEATER SUSPENDED—UNIT— lO 25 Z L L
d
O
U
LC
O
r
U
W
CL
N
Plon check fee °S' of above Sre rerr r,e
PE1011I ISSOIN( FFE S 3 00
101 %1 I'FL O
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINA N C 011
EO AND LAWS REGULATING HEATING VENTI APPROVALS DAT! INSKC 6 SIGNATURE
LATINO AIR CONDITIONING
ROUGH
HEREBY CERTIFY THAT NOT ACTINO VIO ATIGN M
OF CHAPTER U OIVIBION 3 OF THEE BV91ME99 AND PROF
OF IONAL FINAL V
CODE OF THE STATE OF CAL IFOR NI•
SIGNATURE PERMIT VALIDATION cK M o CASH
OF PERMITTE
PLAN CHECK VALIDATION CK M 0 CASH
7214" 2941 0 8.00
SEE BACK OF APPLICATION FOR COMPLETE FE!SCHEDULE