HomeMy Public PortalAbout9982 BOGUE ST_Mechanical__ - � c
976A364-10EB18, 1/70 APPLICATION'FOR PERMI '
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING [�L
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY, DIVISION LOCALITY
JOHN A. LAMBIE,:COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
CROSS ST.
FOR APPLICANT TO.FILL IN OWNER _,C%G2R•
(PRINT OR TYPE ONLY) '
MAI L
No. TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS O
ABSORPTION SYSTEM, BTU CITY, TEL. NO.
CONTRACTOR i
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER,_ CITYTEL. NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO CLASS GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER (�
FURNACE: FAU_GRAVITY INSPECTION RECORD
FLOOR BTU
HEATER: SUSPEND UNIT_
WALL'
a
O
U
• C
U
W
n.
NEW —ADDITION— PERMIT $ 3 00 ?
ALTER-- REPAIR -TOTAL FEE $
PLAN CHECK LICANT
NAME / [l
ADDRE S
CITY �y�,i TEL.NO.
1 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 D TES PECTOR' I NATURE
LATING, AIR CONDITION,
NG.
7�
I HEREBY CERTIFY THAT I AM NOT ACTING VIOLATION ROUGH
OF CHAPTER 9, DIVISION-3 O BUSINESS PROFESSIONAL FINAL �'
CODE OF THE STATE F , ORNI
—j
SIGNATURE ` /�•� JACK R. ALLEN,SUPE VISING MECHANICAL ENCC
OF PERMITT l
PERMIT VALIDATION CK. M.0. ASH
PLAN CHECK VALIDATION
I A;'- 1 3 2 2 JUL 8 4 1 D 8.0 0 '
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE "