HomeMy Public PortalAbout10402 DAINES DR_Mechanical__ r �
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APPLICATIPNG
FOR PERMIT
HEA ING - VENTILA FOR
CONDITIONING
COUNTY OF LOS ANGELES FADDRESS/02/4:�10
7NG
DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION
JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN
OWNER
(PRINT OR TYPE ONLY)
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ,ADDRESS
ABSORPTION SYSTEM,'BTU CITY -TEL NO
CONTRACT � �
AIR HANDLING UNIT, CFM
BOILER, HORSEPOWER' __AD DRESS
- _ - � C 'y � N,0 v
COMPRESSOR, HORSEPOWERSTATE �^
LICENSE NO L/ CLI-Asie 3 f0
VENTILATION SYSTEM DISTRICT NO. GROUP ZONECESSED BY
EVAPORATIVE COOLER Ate,
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FURNACE FAU GRAVITY - INSPECTION RECORD-
FLOOR '
BTU
HEATER S NDED -UNIT-
WALL
NITWALL 0
CLO
V
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CL
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NEW-ADDITION- PERMIT $ 3 00 z
ALTER_REPAIR_. TOTAL FEE $ /3
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
IHEREBY 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 9ATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING
IHEREBY CERTIFY THAT I AM NOT`ACTING IN VIOLAT DN OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSINES AND PROF S`IONAL FINAL • 3
CODE OF THE STATE OF ALIF`RNIA. `
SIGNATURE ! JACK R. ALLEN, SUPERV'ISINGMECHANICAL ENG'R•
_
OF PERMITT PERMIT VALIDATION (�CK. � M.O. CASH
PLAN CHECK VALIDATION
( 043073 AlR 641 D 13 . C0
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE -