HomeMy Public PortalAbout9221 WEDGEWOOD ST_Mechanical__ _ ,t_* P, -- ,r�per? �► t7y
76.A364-;CE 8.18 - 9-7i APPLICATION FOR PERMIT
- HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FNEAREST
7NGq:_,
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 2�'
FOR APPLICANT TO FILL IN OWNER
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No. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS p�.
CIT /� TEL. NO.
ABSORPTION UNIT, BTU ' 1��•
07
CONTRACTOR j• �3LE ��/E7;3
AIR HANDLING UNIT, CFM _
ADDRESS �� , u
BOILER, BTU CITY L,,�Pt,
/U TEL. NO. -
� 3 4'
fCOMPRESSOR, BTU eh� DDSTATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE
• PRCEEVAPORATIVE COOLER Ago,
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FURNACE: FAU GRAVITY FLOOR BTU INSPECTION RECORD V
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HEATER: SUSPENDED UNIT_ CD
WALL Lvu
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Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE S s 00
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
LLATING,
REBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
LL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSP TOR'S SIGNATURE
AIR CONDITIONING. ROUGH
EREBY CERTIFY THAT I A NOT ACTT G N VIOLATIONPTER 9, DTVI O 3, OF E BUSINESS PROFESSIONALFINALF T,HE STAT F NFI-I ITURE PERMIT VALIDATION CK.RMITTE i
Ed
PLAN CHECK VALIDATION CK. M.0. CASH
Arm �- s 5 .073, JUN 2 5. 4 1 D 1 .3.4 0!1
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE