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HomeMy Public PortalAbout5322 WELLAND AVE_Mechanical__ :7636;4;.,-`C-E 818 - 9-71 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS C"`L BUILDING AND SAFETY DIVISION LOCALITY NEAREST CROSS ST. FOR APPLICANT TO FILL IN OWNER / (PRINT OR TYPE ONLY) /G ADDRESS MAI L 10d A-ZeedAl- NO.NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ` / CITY/,4 J04, eV?-,e TEL. NO.&;? 2,(1 ABSORPTION UNIT, BTU CONTRACTOR •�j`6;4- AIR 4AIR HANDLING UNIT, CFM ADDRESS BOILER, BTU CITY TEL. NO. / COMPRESSOR, BTU abO Od STATE LIC. LICENSE NO. CLASS VENTILATION SYSTEM DISTRICT NO. GROUP CESSED BY EVAPORATIVE COOLER fWZO0NE FURNACE: FAU GRAVITY v 0 Q O INSPECTION RECORD FLOOR BTU HEATER: SUSPENDED UNIT_ v WALL 8 n.. • Z Plan check fee 25% of above. See reverse. PERMIT ISSUING FEE 8 3 00 TOTAL FEE SO PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.NO. 1 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, VENTI- APPROVALS DATE INSPEC OR'S SIGNATURE LATING,AIR CONDITIONING. ROUGH 1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL CODE OF THE STATE ALIFOR NI SIGNATURE PERMIT VALID IO.N cK' M.O. CASH OF'PERMITTE PLAN CHECK VALIDATION CK. M.O. CASH / 3 3 2 973 SEP G 5 4 1 D ;-5©A SEE BACK OF APPLICATION FOR COMPLETEF_EE SCHEDULE