HomeMy Public PortalAbout5724 OAK AVE_HVAC_11/14/1974_]B A364I-CE 818 - S -]I �-��-
APPL ATION FOR PEOIT
HEATING - VENTILATING - AIR CONDITIONING/
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY``
NEAREST
CROSS S[�l
FOR APPLICANT TO FILL INIOWNER
(PRINT OR TYPE ONLY) MAIL LL %Y
'/
No. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESScd
2 - �Q oy�IQ
j CITN _� TEL. NO.`^:/��'-�L
ABSORPTION UNIT, BTU �C�/��J
CONTRACTOR, -y
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTI1 ICIT A l TEL. NO,2 /dlv
/ COMPRESSOR, BTU -�+� �DOII LC
STAT
LICENSE NO. q��/ CLAW
VENTILATION SYSTEM DISTRICT 0. ERGO 0�CNE r:SE.o
EVAPORATIVE COOLER r L
FURNACE: FAU_CGRAVITY i U
/ FLOOR ST11 -qr b D INSPECTION RECORD
s
HEATER: SUSPENDED—
UNIT-WAIT I CZIw
N
I
Plan check fee 25< of above. See reverse.
PERmI'r ISSUING FEE 8 a 00
TOTAL FEE 11 j 60
PLAN CHECK APPLICANT
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, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATINS, AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT NOT ACTING IN VIOLATION
OF CHAPTER S, DIVISION 3, OF THE
BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF IFORN A.
SIGNATURE PE IT VALIDATION
OF PERMITTEE
LAN CHECK VALIDATION CK. M. 0. CASH
590,
4� 1 41 0
SEE BACK OF APPL ICA T ION FOR COMPLETE FEE SCHEDULE
M.O. CASH
1 3.0 0 At3a