HomeMy Public PortalAbout6354 BARELA AVE_Mechanical__ ��Z�45:
76Ase4-Cee+e-1i70 APPLECII;TION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING �.
COUNTY OF LOS ANGELES FIES
DEPARTMENT OF COUNTY ENGINEER S
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, CouMnr EN¢INEER
COLKMAN W. JENKINS, SUriF21NTIENDIENT OF BUILDING
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL'
NO. TYPEOFAPPLIANCE-OR EQUIPMENT FEE ADDRESS
CITY TEL NO.
ABSORPTION SYSTEM, BTL)
CONTRACTOR
AIR HANDLING UNIT; CFM
0000,
ADDRESS
BOILER, HORSEPOWER' CITY TEL. NO.
COMPRESSOR, HORSEPOWER ST LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DINTRICT NO. CLABS OROUP ONE
PROCESSED'By
EVAPORATIVE COOLER O �/
FURNACE: FAUGRAVITY INSPECTION RECbRD
FLOOR BTU
HEATER: .SUSPENDED UNIT_ O
WALL
• o�o
' U
GG
fot �
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NEWADDITION— PERMIT f 3 00
ALTER_REPAIR— TOTAL FEE f
?LAN CHECK �np LICANT
'NAME '
ADDRESS
CITY TEL.NO.
THEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANP STAT[ THAT THE ABOVE IE CORRECT AND AGREE TO COMPLY
WITH ALL ORDINAMLES AND LAWS REGULAI`ING HEATING, VENTI— APrHp VALS DAT[ CTOR'S SIGMATURL
LATINS,AIR CONDIT,IONIMS.
RO UG H
1 HERE RTIFY THAT I AM NOT ACTING IN VIOLATION
-0F CHAFT D, D VISION.E, OF SUSINES D F F SIGNAL FINAL
CODE OF T [ STA E OF CALIFO IA
91GNATU 000 JACK R. ALLEN,S{JPERVISI HAaICAL ENG'R.
OF PERMIT
PERMIT VALIDATION CK. M.Q�. CASH.
HI=CK V bATION /
15 4 1, 8 O.0-
SEI BACK OF AIPPLICATHM FOR CON PL17[FE[SCHEDULE , .