HomeMy Public PortalAbout5822 CLOVERLY AVE_Mechanical__ 164364=CE:'318-8 68 APPLICA 10 FOR PERMIT
HEATING - VEATILATING91 CONDITIONING
COUNTY OF LOS ANGELES
I DEPARTMENT OF COUNTY ENGINEER B
' BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
(Print or type only)
OWNER �
NO TYPEJOF APPLIANCE OR EQUIPMENT FEE
MAIL
ADDRE
ABSORPTION SYSTEM, BTU CIT TEL NO �� 1
AIR HANDLING UNIT, CFM CONTRALTO J LCJ
BOILER, HORSEPOWER ADDRESS ��
COMPRESSOR, HORSEPOWER �Q CITY �L TEL NOf �
STATE LIC ^
VENTILATION SYSTEM LICENSE NO CLASS Cr'^ 1
DISTRICT NO GROUP ZONE p 25 E25P BY
EVAPORATIVE CO ER f
FURNACE 'F`AJU • GRAVITY
FLOOR—BTU SPECTION ORD
HEATER SUSPENDED UNIT
WALL 7�
O�
i V
U
LSI
r 0_
N
'r Z
NEW- ADDITION PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $ S
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 I ECTOR'S SIGNATURE
LATING, AIR CONDITIONING
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTIN IN VIOLATION FINAL �Z'
OF CHAPTER 9, DTVI 10 3 OF THE BUST SS ROFESSIONAL
CODE OF THE 5 �IFOR NIA JACK R ALLEN,SUPERGIS E ANICAL ENG'R
SIGNATURE �� PERMIT VALIDATIOy*V cK O , CASH
OF PERIV E _ �..J
PLAN CHECK VALIDATION
�q 0 5 1 ^ 6 r-2 Nt�R 2 7 4 2 1 3. 0cv
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE