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HomeMy Public PortalAbout10406 DAINES DR_Mechanical__ ,6A364 - CE818APPLICATI FOR PERMIT HEA ING - VENTILA NG - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS l r BUILDING AND SAFETY DIVISION JOHN A LAMBIE, COUNTY ENGINEER LOCALITY COLEMAN W JENKINS,SUPERINTENDENT OF BUILDING NEAREST CROSS ST. 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 AIR HANDLING UNIT, CFM CONTRACT _ i gjBOILER, HORSEPOWER ADDRESS _ CIT r NO. COMPRESSOR, HORSEPOWER STATE -,LIC. LICENSE N0. C/ VCLAS 3 VENTILATION SYSTEM DISTRICT NO. GROUP ZONE CESSED BY EVAPORATIVE COOLER Q r ,/_i © 1 FURNACE FAU GRAVITY INSPECTION RECORD FLOOR BTU HEATER S NDED UNIT WALL } F V w CL NEW-ADD ITION_ PERMIT $ 3 00 Z ALTER_REPAIR_ TOTAL FEE $ ,13 PLAN CHECK APPLICANT NAME ADDRESS CITY TEL. N0. 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-7 LATING, AIR CONDITIONING, APPROVALS 9ATE INSPECTOR'S SIGNATURE ' IHEREBY CERTIFY THAT I AM NOT' ACTING IN V,IOLAT DN OF ROUGH CHAPTER 9, DIVISION 3, OF THE BUSINES5.AND PROF S'IONAL FINAL ,�3 CODE OF THE STATE OF.CALIFORNIA. ' SIGNATURE JACK R. ALLEN, SUPERV•IS ING.,MECHAN I CAL ENG'R. OF PERMITT ' PERMIT VALIDATION CK. M.O. CASH - PLAN CHECK VALIDATION SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE -