HomeMy Public PortalAbout4902 ALESSANDRO AVE_Mechanical__ J- of / d �= e �.l� e,//y
76A364 - CE818 - 3 69 /
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FADDRE
DEPARTMENT OF COUNTY ENGINEER J
BUILDING AND SAFETY DIVISION /
JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN
OWNER
(PRINT OR TYPE ONLY)
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRES
ABSORPTION SYSTEM BTU CI Y TEL - pZ
CONTRACTOR LSC
AIR HANDLING UNIT CFM
E (r
BOILER HORSEPOWER ADDRESS
CI e TEL NO
COMPRESSOR HORSEPOWER STATE LIC
4-1 LICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO GROUP ZONE PROCESSED
8Y
EVAPORATIVE COOLER
FURNACE FAU Y I
FLOOR area INSPECTION REC
HEATER SUSPENDED IT
WALL
C-
n.
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oc
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F-
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PN
NEW ADDITION— PERMIT S 3 00 Z
ALTER_REPAIR_ TOTAL FEE S
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 VENTI
LATING AIR CONDITIONING APPROVALS DATE I CTOR S IGNATURE
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL FINAL 0
CODE OF THE STATE OF CALIF NIA
SIGNATURE JACK R ALLEN SUPERVISING MECHANICAL ENG R
OF PERMITTE
PERMIT VALIDATIONcK M o CASH
PLAN CHECK VALIDATION
j A',, 6 '?9 9F- SEP 16 4 1 D 1 100-
E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE OL"