HomeMy Public PortalAbout9988 BOGUE ST_Mechanical__ I6A364—CE818-8-68 I APPLICATION FOR PERMIT e�g� a i
HEATING - VENTILATING - AIR CONDITIONI
COUNTY OF'-LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING p�
BUILDING AND SAFETY DIVISION ADDRESS O`(TG�C
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST `/�(// T
FOR APPLICANT TO FILL IN CROSS ST. /CV I A-.)
(Print or type only)
OWNER i
NO. TYPEJOF APPLIANCE OR EQUIPMENT FEE
MAIL .
ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR ti S
BOILER, HORSEPOWER ADDRESS C ad4v6
COMPRESSOR, HORSEPOWER— CITY �^ TEL. NO.
LIC
VENTILATION SYSTEM LCE SE NO. J 7 CLASS
DISTRICT NO. c ROUP ZONE PROCE SSED BY
EVAPORATIVE COOLER V
J� I
FURNACE: FAU GRAVITY
FLOOR—BTU INSPECTION RECORD
HEATER: SUSPENDED—UNIT-
WALL
USPENDED UNITWALL
F—
Uo_
O
V
W
C3
f/J
Z
NEWADDITION PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE ,$
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 NSP TOR'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY T I AM NOT ACTING IN VIOLATION O
OF CHAPTER 9, D'V'S
N 3 OF THE BUSINESS ANO F FESSIONAL FINAL
CODE OF THE STAT IF RNIA.
JACK R. ALLEN,SUPERVISING MECHANICAL
SIGNATURE PERMIT VALIDATION CK. M.O. CASH
OF PERMITT
PLAN CHECK VALIDATION
35 7 FES 2 4 1 0 7.0 0;"
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE