HomeMy Public PortalAbout5951ALESSANDRO AVE_Mechanical � T� •y ,
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16A364 - CEBfd - 3 69 APPLICATION FOR ERMIT L
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES fNEAREST
7�NG�
DEPARTMENT OF COUNTY ENGINEER �
BUILDING AND SAFETY DIVISION r /
JOHN A LAMBIE COUNTY ENGINEER _/ �, 4` T
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING r✓ -7 /
FOR APPLICANTTO FILL IN
(PRINT OR TYPE ONLY) OWNER
MAIL /
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM BTU CITY�I i C lkTEL NO
AIR HANDLING UNIT CFM CONTRACTOR
ADDRESS
BOILER HORSEPOWER
CITY TEL NO
COMPRESSOR HORSEPOWER STATE LIC
LICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO GROUP ZONE PROCESSED
EVAPORATIVE COOLER
FURNACE FAU GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER SUSPENDED UNIT
WALL
cl
0
ck
C
H-
Q
LL
CL
v
NEW—ADDITION— PERMIT $ 3 00 Z
ALTER_REPAIR_ TOTAL FEE $ 1 4 vo
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 VENTI APPROVALS DATE 1 ECTOR NATURE
EATING AIR CONDITIONING
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF TH TE OF LIFORNIA I 7
SIGNATURE /i((/// JACK R ALLEN SUPE G ECHANICAL ENG R
OF PERMITTEE
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PERMIT VALIDATION K M 0 CASH
PLAN CK VALIDATIC�I
LAGo 4 5 9 7 N FEB 2 5 4 1 D 6 0 0-
(i�
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE