HomeMy Public PortalAbout9030 ACASO DR_Mechanical_9/2/1970_furnance 76A364-CE818-8-68 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CLil
NING„ iCOUNTY OF LOS ANGELES \ I/
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS a 3 0 -tea
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT QF BUILDING LOCALITY tr`A E e�� 7-
FOR APPLICANT TO FILL IN CNEAREST
ROSS ST. G� /r,
e-5-Al 0
(Print or type only)
OWNER .
NO. TYPEJOF APPLIANCE OR EQUIPMENT FEE
MAIL a
/ ADDRESS
ABSORPTION SYSTEM, BTU;%6&V d CITY
��T
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS "
i
COMPRESSOR, HORSEPOWER CITY ,4 C C,T EL. NO.� 2q,
STATE o LIC. q
VENTILATION SYSTEM LICENSE NO. (S� CLASS rC
DISTRICT NO. GROUP ZO IE P ESSED BY
EVAPORATIVE COOLE �(
FURNACE: FAU GRAVITY
FLOOR—BTU 'd INSPECTION RECORD
HEATER:.SUSPENDED UNIT
WALL
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W
13-
NEW- ADDITION
LNEWADDITION PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $ GD
Plan check applicant
Name
Address
City Tel. No.
I 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, VENT I- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY T T I AM NOT ACTING IN VIOLATION FINAL
OF CHAPTER 9, DIVISION F THE BUSINESS AND P OFESSIONAL
CODE OF THE STATE OF ASI ORNIA.
JACK R. ALLEN,SUPERVISIN MECHANICAL ENG'R.
OF PERMITT
SIGNATURE PERMIT VALIDATION CK. M.0. CASH
EE
PLAN CHECK fALIDAT1W
t nr.s 5.9 5P- SEP 2 41 0 1 1.00-
S EE
.00- CuSEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �V