HomeMy Public PortalAbout4848 CLOVERLY AVE_Mechanical__ -Fr /I--
76A364 - CE818 - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING5TEL �
DEPARTMENT OF COUNTY ENGINEER ADDRESSBUILDING AND SAFETY DIVISIONJOHN A LAMBIE COUNTY ENGINEER LOCALITYCOLEMAN W JENKINS SUPERINTENDENT OF BUILDING NEAREST
CROSS ST (i/- oFOR APPLICANT TO FILL IN OWNER(PRINT'OR TYPE ONLY) , ts
MAILNO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESSABSORPTION SYSTEM, BTU , CITY e/�CONTRACTOR AIR HANDLING UNIT, CFM /ADDRESS 1J_IAI
BOILER, HORSEPOWER
CITY TEL NO
COMPRESSOR, HORSEPOWER STATEj� LIC
LICENSE NO (r CLASS O
VENTILATION SYSTEM DISTRICT NO GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER �4 y� J / '
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FURNACE FAU GRAVITY
FLOOR BTU INSPECTION+RECORD
HEATER SUSPENDED UNIT 7- Vn
WALL l� }
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NEW_ADDITION_ PERMIT $ 3 00 Y t Z
ALTER__REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME �=
' ADDRESS ,
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION �� r
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY `r
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
F LATING AIR CONDITIONING
THEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIV ISION,2''� OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE 2ALIFORNIA �J/� d
T SIGNATURE f(f JACK R ALLEN"SUPERV MECHANICAL ENG'R `
' OF PERMITTEE V —s
PERMIT VALIDATION CK M O CASH
PLAN CHECK VALIDATION
5-0 i3-4 JUL 3 4' 1, d
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE