HomeMy Public PortalAbout5234AGNES AVE_Mechanical (2) r.
76A364—CE818—1/70 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES rNEAREST
RESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ALITY
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDINGSS ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL NO
ABSORPTION SYSTEM BTU
CONTRALTO
AIR HANDLING UNIT CFM
ADDRESS
BOILER HORSEPOWE CITY TEL NO
COMPRESSOR HORSEPOWER STATE LIC
LICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO CLASS GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
( (
FURNACE FAU_GRAVITY IN ECTI N RECORD
FLOOR BTU
HEATER SUSPENDED-UNIT-
WALL
USPENDED UNIT_WALL
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a
C
C'
C
C
H
C
La
NEW_ADDITION— PERMIT $ 3 00 V
Z
4
ALTER—REPAIR— TOTAL FEE $
PLAN CHECK APPLICANT
NAME
r
ADDRESS
CITY TEL NO
LLATING
BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING VENT[ APPROVALS i DATE IN CTOR S SIGNATURE
IR CONDITIONING
ROUGHEBY CERTIFY THAT I AM NOTACTING IN VIOLATION
ER 9DIVISION 3 OF THE BUSINESS AND PROFESSIONAL FINAL
THE STATE OF CALIFORNIA
RE JACK R ALLEN,SU ERVISING MECHANICAL ENG'R
MITTEE
PERMIT VALIDATION cK M 0 CASH
PLAN CHECK VALIDATION
1kr,9842ti APR 2241 D 11050
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE