HomeMy Public PortalAbout5951 ALESSANDRO AVE_Mechanical__ �y r
76A364 - CE818 - 3 69 APPLICATION FOR PERMITJ .
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FDDLRDE
NG
DEPARTMENT OF COUNTY ENGINEER S Js` �G /r► l3
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER TYCOLEMAN W JENKINS SUPERINTENDENT OF BUILDINGTST
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY) OWNER
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS V.5— ZeS ti,p� C>
ABSORPTION SYSTEM BTU CITY TEL NO 2,9 (�
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AIR HANDLING UNIT CFM CONTRACTOR
ADDRESS
BOILER HORSEPOWER
CITY TEL NO
COMPRESSOR HORSEPOWER STATE LIC
LICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO GROUP ZONE ePESSED BY
EVAPORATIVE COOLER O�/
FURNACE FAU GRAVITY
FLOOR BTU O ep 'p Q INSPECTION RECORD
HEATER SUSPENDED NIT
WALL
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NEW_ADDITION PERMIT $ 3 00 Z
ALTER--REPAIR_ TOTAL FEE $ O OU
PLAN CHECK APPLICANT
NAME
ADDRESS �'� �.i C
CITY .Z=TEL NO Z G
1 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 ATE I ECTOR SIGNATURE
LATING AIR CONDITIONING
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9 DIq�z
E BUSINESS AND PROFE SIONAL
CODE OF THE SN IA FINAL _
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SIGNATURE JACK R ALLEN SUPERVISING MECHANICAL ENG R
OF PERMITTEE
PERMIT VALIDATIONCK M 0 CASH
PLAN E!%CK VALIDATION 111
3365 JAN 15 Al D 800-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE /�/'� v L��,•V
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