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HomeMy Public PortalAbout9721-9723 WORKMAN AVE_Mechanical__ 76A884E,jSE-018A1�Y997 APPLICATION FOR PERMIT HEATING' - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO'FILL IN BUILDING (PRINT OR TYPE ONLY) ADDRESS LOCALITY 1 �� NO. TYPE OF APPLIANCE OR EQUIPMENT PEE NEAREST GROSS ST. SORPTIOUNIT,BI6LLr P �L Y OWNER `�U�• AIR HANDLING UNIT,CFM MAIL 6 �� v ADDRESS BOILER,BTU CIT;' C( TEL NO.��"��'17c� COMPRESSOR,BTU CONTRACTOR O d� VENTILATION SYSTEM ADDRESS EVAPORATIVE COOLER CITY TEL.NO. FURNACE: OAU_GRAVITY STATE LIC. FLOOR BTU -� LICENSE NO. CLASS HEATER: SUSPENDED-UNIT- DISTRICTNO. GROUP ZONE PR069SSED BY WALL INSPECTION RECORD ILO G O 1� Plan check fee 25%of above. PERMIT ISSUING FEE$ TOTAL FEE 2 -�- PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.NO. IHEREBY 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 CONDITIONING. I HEREBY CERTIFY THATI M NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'SSIGNATURrEq ��)p CHAPTER 9, DIVISION 3, OFT USINESS AND FESSIONAL CODE ROUGH 6✓Q all OF THE STATE OF C .S TURE ,� .FINAL PERMIT VALIDATION Dlr M.O. CASH PLAN CHECK VALIDATION Ck. M.O. CASH- '• �_ ;� _ „ 1 9 9 JUN `2ti.4 ` D .0:d ©58 es