HomeMy Public PortalAbout6433 TRELAWNEY AVE_Mechanical__ )B A38♦- CE BIB -1/)S C
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR COMBI110HING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY TiYMPLEFC
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NEAREST
CROSSST GOR. Dl.FM -4- 7 I50UJAJC
FOR APPLICANT TO FILL IN OWNER DI,ILZ1 Imo•
(PRINT OR TYPE ONLY) MAI L
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NO TYPE&SIZE OF EQUIPMENT F E ADDRESS 6433- A.-rF6EAW06 /'-FUG
SEE BACK OF APPLICATION
If FORCE AIR FURNACE BTU CITY 16
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C' I-ry TEL NO &a—f-7O'
T CONTRACTOR /
COMPRESSOR BTU 3 /— / 7
ADDRESS /
VENTILATION FAN CITM� TEL NO _
LIST ALL OTHERS BELOW
STA-(E LI
LICENSE NO CLASS
DISTRICT NO GROUP LONE PRO 95 E0 T
JOB L _ f
INSPECTION RECORD
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Plan check fee See reverse
13I Ii\ll 11441 I\f F F I S
IDI \I I I I
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND .GHEE TO COMPLY
WITH ALLORDINANCES AND LAWS REOUI TING HEATING VENTI APPROVAL$ DATE INSPECTORS SIGNATURE
LATINO AIR CONDITIONING
ROUGH
IHERESY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF AL(FOR NIA . T r
SIGNATURE
OF PERMITTE PERMIT VALIDATION cR M o c.sN
PLAN CHECK VALIDATION CR M G CASH
6 7 8�4TP 16-1-0 2 3.2 5 ,itis