HomeMy Public PortalAbout9632 WOOLLEY ST_Mechanical__ 76A364C : /✓
CE-818(REV.11/78)
®s APPLICATION FOR PERMIT
HEATING VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING `��
ADDRESS
(PRINT OR TYPE ONLY)
LOCALITY C
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST /l _
_ CROSS ST.
ABSORPTION UNIT,BTU — w
OWNER
AIR HANDLING UNIT,CFM MAIL
a ADDRESS
BOILER,BTU
CITY TEL.NO.
COMPRESSOR,BTU
CONTRACTOR '
VENTILATION SYSTEM ADDRESS
02 w
EVAPORATIVE COOLER CITY TEL.NO
FURNACE: FAU GRAVITY STATE LIC.
FLOOR BTU LICENSE NO.9 CLAS
HEATER: SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE
WALL p f�
60 ROUGH C Q
6
FINAL
In
� INSPECTION RECO D Q5
Plan check fee 25%of above. ulul
PERMIT ISSUING FEE$ 400'
TOTAL FEE 3 6 v
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS
CITY TEL.NO.
I 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. VENTILATING, AIR 9 8 35 3 A
CONDITIONING. PERMIT VALIDATION
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF # o o 0 o 4 1
CHAPTER 9, DIVISION 3,sbk THE BUSINESS AND PROFESSIONAL CODE
OF THE STATE OF CALIFORNIA. � 2 0 - 23,00
SIGNATURE
OF PERMITTEE ,( _ - 23006)
DISTRICTNO. PROCESSED Y
1221 -79