HomeMy Public PortalAbout6018ALESSANDRO AVE_Mechanical I6A 364-CE818-8 88
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING J
BUILDING AND SAFETY DIVISION ADDRESS Q v
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPHRINTENDENT OF BUILDING LOCALITY ST
�Q
FOR APPLICANT TO FILL IN NEAREST v
CROSS ST Ve
(Print or type only) �^ ` �
OWNER io alai/ /4
NO TYPEJOF APPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS 'p—
ABSORPTION SYSTEM BTU CITY TEL NO d 3�_6 41ro
AIR HANDLING UNIT CFM CONTRACTOR 1�� /_ r
abiam
BOILER HORSEPOWER ADDRESS ^pS
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COMPRESSOR HORSEPOWER CITY TEL NO 3
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STATE LIC
VENTILATION SYSTEM LICENSE NO D CLASS
DISTRICT NO GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER � r--
FURNACE FAU GRAVITY
FLOOR-X_BTU o INSPECTION RECORD
HEATER SUSPENDED UNIT
WALL
O
U
W
CL
N
Z
NEW—ADDITION— PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $ 7 ,00
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 INS TORS SIG
LATING AIR CONDITIONING
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION FINAL
OF CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL
CODE OF THE STATE OF CALIFORA
I JACK R ALLEN,SUPERVIS CHANICAL ENG R
SIGNATURE
OF PERMITTEE PERMIT VALIDATI M O CASH
PLAN CHECK VALIDATION
- l0 717 ? s� x:27 4 1 0 7.0 0
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE