HomeMy Public PortalAbout4908 WILLMONTE AVE_Mechanical__ 76 A64 ='CE 618 X9_71 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
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COUNTY OF LOS ANGELES BUILDINGj
DEPARTMENT OF COUNTY ENGINEER ADDRESS C
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
[CROSS ST.
FOR APPLICANT TO FILL IN OWNER �^
(PRINT OR TYPE ONLY) ✓ Q
MAIL .514 mk
NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS
CITY TEL. NO.
ABSORPTION UNIT, BTU
CONTRACTOR ,
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU CITY D& TEL. NO. Zb
COMPRESSOR, BTU STATE �� LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. VROUP I ZONEC;Nq)ESSED By
EVAPORATIVE COOLER ~ Qg c}..
FURNACE: FAU_GRAVITY
FLOOR BTU INSPECTION RECORD
U
HEATER: SUSPENDED UNIT_ O
F-
WALL w
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Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE $ 3 00
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO,
LLATING,
BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ETHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS ATE INSPECT RSSIGNATURE
IR CONDITIONING. ROUGH
EBY CERTIFY THAT I AM NOT ACTING I VIOLATION
ER 9, DIVISION 3, OF THE BUSINESS AND OFESSIONAL FINAL
THE STATE 0 L NIA.
UREPERMIT VALIDATION CK. M.O. CASH
MITTEE
PLAN CHECK VALIDATION CK. M.O. CASH -
LACO G 9 .9 4 :1 .0 1 U.0 u- a
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SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE