HomeMy Public PortalAbout9818 VAL ST_Mechanical__ TB AaBA C 8 1 - GTI F APPLI�OR PERMIT
HEATING - VENTILATING - AIR CONDITIONII
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
No TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL
ABSORPTION UNIT, BTU
CONTRACTOR 01
AIR HANDLING UNIT, CFM
ADDRESSe�
BOILER, BTU
CITU TEL NO
COMPRESSOR, BTU STATE LIC _rte
LICENSE NO CLASS cfigag
7
VENTILATION SYSTEM DISTRICT No CUP OONE ESSED BY
EVAPORATIVE COOLER -Q
FURNACE FAUGRAVITY
FLOOR BTU INSPECTION RECORD U
z
HEATER SUSPENDED—UNIT— �
WALL w
d
N
Z
Plan check fee 25- of iho,e SLe re,erse
PERNII I ISSUINC FF F S 3 00
TOTAL FEF
PLAN C APPLICA T
NAM halwz
ADDRESS
CITY � TEL NO
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND !TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL 0 INANCE! ANO LAWS REOUI-ATING HEATING VENTI- APPROVALS DATE INSPE OBb SIGNATURE
EATING AIR TONING
ROUGH r
I HEREBY C TI THA NOT ACTING IN VIOLATION
OF CHAPTER 9 01 F THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STAT F KE
SIGNATURE RMIT VALIDATION CN M CASH
OF PERMIT EE
PLAN CHLCR VALID LN M 0 CASH
I I�r 1 7 6 g'13 M 19 4 1 D 1 0,5 0
SEE pACN OF APPLIUTION FOR COMPLETE FEE SCHEDULE