HomeMy Public PortalAbout5542ALESSANDRO AVE_Mechanical i c
I I
76A3&4 - CE818 - 3 69 A ICATIO R PERMIT
HEATING - VENTILAT - AIR CONDITI ING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER LOCALITY
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING NEARE
CROSS ST
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY) OWNER
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS ,
ABSORPTION SYSTEM BTU CITY TEL NO
AIR HANDLING UNIT CFM CONTRACTOR
BOILER HORSEPOWER ADDRESS
CITY /,, TEL NO
COMPRESSOR HORSEPOWER STAT LIC
LICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO GROUP NE CESSED Y
EVAPORATIVE COOLER �l /)yf / 1
FURNACE FAU GR VITY \� VGJ 1�
FLOOR BTU INSPECTION RECORD
HEATER SUSPENDED UNIT
WALL
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FC-
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NEWPERMIT $_ADDITION_ Z
ALTER_REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT c;l!�
NAME
ADDRESS
CITY TEL NO
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 DATE INSPECTOR S SIGNATURE
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE CALIFIIA
SIGNATURE JACK R ALLEN SUPERVISING MECHANICAL ENG R
OF PERMITTEE
PERMIT VALIDATION -CK M 0 ` CASH
PLAN CH CK VALIDATION
993'1--AUG 54,1 0 1 200
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E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE _/h1