HomeMy Public PortalAbout9309 BLACKLEY ST_Mechanical__ 76A364-CE818-1-68 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS9309 Blackley
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGLOCALITYNEAREST
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FOR APPLICANT TO FILL IN CROSS ST
(Print or type only) McCullough
OWNER John C
resto
NO TYPE,OFAPPLIANCE OR EQUIPMENT FEE
MAI L
ADDRESS 2309 Blackley
ABSORPTION SYSTEM, BTU
CITY Tepip le C i ty TEL NO AT-5-7385
AIR HANDLING UNIT, CFM CONTRACTOR
Pacific Installers
BOILER, HORSEPOWER ADDRESS 10920 E. nand
COMPRESSOR, HORSEPOWER CITY Temple, City TEL N0442-7070
STATE LIC
VENTILATION SYSTEM LICENSE NO 211,198 CLASS
DISTRICT NO GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE
FA GRAVITY >'
a
FLOG BTUINSPECTION RECORD v
HEATER SUSPENDED UNIT
WALL O
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NEW—ADDITION— PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
HEATING, VENTILATING, AIR CONDITIONING
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION3, OF THE BUSINESS AND PROFESSIONAL
CODE OF THE STATE OF CAL II FFOORNIA APPROVALS AT INS ECTOR'S SIG TUBE
SIGNATURE f }���^ ROUGH
OF PERMITTEE FYI ` �]�'
FINAL
LIDATION JACK R ALLEN
CK M O CASH SUPERVISING MECHANICAL ENG'R
�'�7 2,2 4� NOV 84 1 D 7.0 0-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ��