The URL can be used to link to this page

Home My WebLink About1389A (7)76A364C CE -8.18 IAEV. 6,"78) ` ©s APPLICATION FOR PERMIT HEATING - VENTILATING AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING AND FOR APPLICANT TO FILL IN DDRESS ADDRESS (PRINT OR TYPE ONLY) ADDRESS LOCALIT - I ' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE N' NEAREST CROSS ST. ABSORPTION UNIT, BTU y OWNER S ✓ AIR HANDLING UNIT, CFM MAIL ADDRESS BOILER, BTU CIT COMPRESSOR, BTU CONTRALTO VENTILATION SYSTEM ADDRESS EVAPORATIVE COOLER CITY FURNACE: FAU GRAVITY STATE"�� FLOOR BTU LICENSE NO. HE R: SUSPENDED UNIT 0 TEL, NO. TEL. NZ),; VU I\� CLAS &— - li� WALL APPROVALS DATE INSPECTOR'SSIGNATURE ROUGH_,; .• o • --"'" 7 FINAL INSPECTIO RECORD E2° 0 Plan check fee 25% of above. tA PERMIT ISSUING FEE $ �-- TOTAL FEE,7� ter PLAN CHECK APPLICANT PLAN CHECK VALIDATION NAME ADDRESS - CITY TEL. NO. IHEREBY ACKNOWLEDGE THAT I HAVE READ THISAPPLICATIONAND STATE THAT THE ABOVE IS CORRECT. AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAW REGULATIN ATING, VENTILATING, AIR CONDITIONING. PERMIT VALIDATION qq �- HEREBY CE IFY TH T I AM NO ACTING IN VIOLATION OF CHAPTER 9, DIVISI N THE USIN SAND PROFESSIONAL CODE OF THE STATE OFC LIFOR A. :,`m -Q 6'0 4 1 SIGNATURE OFPERMITTEE ��tl 2 ,GQ DISTRICT NO. w PROCESSED ( 0 27, Gb,G1— 7 9 .. � � :... Lr, ��