HomeMy Public PortalAbout9030 ACASO DR_Mechanical_3/13/1970_decorative heater 76A364 - CE818 - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING Cl /*
DEPARTMENT OF COUNTY ENGINEER. ADDRESS /��D UU�eJ
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST �y.t;--O-�J
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY) OWNER
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY C TEL. NO.
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER
CITY
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PRO SS BY
EVAPORATIVE COOLER X R 1
FURNACE: FAU GRAVITY \J VVV I I
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL
a
0
UJI0
V
NEW—ADDITION PERMIT $ 3 00 Z
ALTER—REPAIR— TOTAL FEE $
s PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. N0.
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 A VATE IN ECTOR'S SIGNATURE
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSIN SS AND P SSIONAL FINAL (&70
CODE OF THE STA/TTE,jW CALIFORNIA.
SIGNATURE I' �./
OF PERMITTEE JACK R. ALLEN, SUPERVISI MECHANICAL ENG'R.
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
1:�r,4 0 6 13 1 D 7.0 0-,'
5,EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE