HomeMy Public PortalAbout6138 SULTANA AVE_Mechanical__ '16A864E ICE-61BA)-11/76 APPLICATION FOR PERMIT
HEATING - VENTILATING'- AUDITIONING
CO OF LOS ANGE
DEPART NT OF COUNTY GINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING 6140 V. S .
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY TME QTY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE `
NEAREST
CROSS ST. CME
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ABSORPTION UNIT,BTU OWNER 1 CMER, DOMD
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AIR HANDLING UNIT,CFM MAIL
ADDRESS ta17ll�CJAL++
BOILER,BTU CITY 1 KJU CITY TEL.NO.285-6471
1 COMPRESSOR,BTU_BF 7 50CONTRACTOR TP.4 �+ HQQ
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VENTILATION SYSTEM ADDRESS 2034.N. PEC` RD.
EVAPORATIVE COOLER CITY S. EL M)NTry TEL.NO. 579-7982
FURNACE: FAU—A'- GRAVITY STATE LIC.
1 LICENSE NO. 26509 CLASS FLOOR BTU 7 5Q G20
HEATER: SUSPENDED UNIT— DISTRICT NO. GROUP ZONE CESSED BY
WALL r+
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INSPECTION RECORD
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Plan check fee 25%of above. u
PERMIT ISSUING PEE$ 450
TOTAL FEE' 19 50
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY 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.
1 HEREBY CERTIFY THAT 1 AM NOT TING IN VIOLATION F APPROVALS DATE .� INSPECTOR'S SIGNA7 RE
CHAPTER 9, DIVISION 3, OF THE
BUS
S NO ROFESSIOWAL E ROUGH
OF THE STATE OF CALIFOR IA.
SIGNATURE1140e
I NAL
CIFPERMITTEE.
PLAN CHECK VALIDAT ON CK. M.D. cash PERMIT VALIDATION CK.' M.O. CASH
W01--.'Kr_FxS COMPENSATION
93 7'r*-jAN 3 4 1 0 1 9.5 0 ewe
POLICY HOLDER: R
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.POLICY NUMBER: 04 r8 0 o 06o 76z—