HomeMy Public PortalAbout9036 ACASO DR_Mechanical_12/23/1970 w 76A364-,CE818_1/70
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FREST
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DEPARTMENT OF COUNTY ENGINEER e
BUILDING AND SAFETY DIVISION `
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
S
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OFAPPLIANCE,OR EQUIPMENT FEE ADDRESS _
CITY TEL. NO. 0
ABSORPTION SYSTEM, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER CITY TEL. NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. CLASS GROUP_ ZONE PROCESSED BY
EVAPORATIVE COOLER r 0
FURNACE: FAUGRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED NIT_ f
WALL
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a
c
c:
o:
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NEW —ADDITION— PERMIT $ 3 00 v
Z
ALTER—REPAIR— TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
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 DATE P TOR'S GNATURE
LATING, AIR CONDITIONING.
ROUGH r 7j
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVIS 3, F THE BUSINESS AND PROFESSIONAL - FINAL
,149
CODE OF THE STATE OF CAL ORNI
SIGNATURE JACK R. ALLEN,SUPERVISING MECHANICAL ENG'R
OF PERMITTEE
llllmiIi� L�& PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
.2 2t DEC23 4 1 D 7.0 OM
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE