HomeMy Public PortalAbout6210 BURTON AVE_Mechanical__ 76A364-CE818-1-68 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 7BUILDING .y ��JOHN A. LAMBIE, COUNTY ENGINEER MCOLEMAN W. JENKINS, SUPERINTEN..NT OP BUILDINGg FOR APPLICANT TO FILL IN(Print or type only)
/ �F,NO.. TYPE,OF APPLIANCE OR EQUIPMENT FEEe
ABSORPTION SYSTEM, BTU CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS
COMPRESSOR, HORSEPOWER CITY �/�� TEL. NO. �f1J'�
STATE LI C.
VENTILATION SYSTEM LICENSE NO. �J y�� / CLASS ��
DISTRICT NO. GROUP ]SONE CESSED BY
EVAPORATIVE COOLER - j I,J, I
FURNACE: FAU r GRAVITY + lC IIIIL✓/�
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FLOOR—BTUa
INSPECTION RECORD
HEATER: SUSPENDED—UNIT
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NEW—ADDITION PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $ 77 ��
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
HEATING, VENTILATING, AIR CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIV1510N OF THE BUSINESS AND PROFESSIONAL
CODE OF THE STATE 0 LIFORNIA. APPROVALS DATE INSPECTOR'S SIGNATURE
OF PERMITTE GNATURE ROUGH
SI PERMITTEE (/ FFF/// ,,,
FINAL
v V LIDATION JACK R. ALLEN
.0. CASH SUPERVISING MECHANICAL ENG'R.
a 421 JUL 31 A I A 7.00—
SEE BACK OF APPLICATION FOR COMPLETE FEE.SCHEDULE- _ _