HomeMy Public PortalAbout10660,10160 DAINES DR_Mechanical__ 76A364-CE8I9-170 APPLICATION FOR PERMIT,
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUUILDISS O O G S
DEPARTMENT OF COUNTY ENGINEER AODRE ,
.BUILDING AND SAFETY DIVISION LOCALITY •< -
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS 1,91LQ S
CITY ] TEL. NO.
ABSORPTION SYSTEM, BTU -Y
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CONTRACTOR ,�, j I j0?1 71
AIR HANDLING UNIT, CFM
ADDRESS 9
BOILER, HORSEPOWER �.(. CITY! ��7
COMPRESSOR, HORSEPOWER_.�� L'V STATE LIC.
LICE SENO. ,�0 L7 CLASS li O` O
VENTILATION SYSTEM DISTRICT NO. CLASS I GROUP ZONE PROCESSED BY
EVAPORA TIVECOOLER - ,XTr
FLOORCE: FAU B IGRA ITY � A-n U IN PE TION RECORD
HEATER: SU SP EN DED_UNIT_ '
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NEW —ADDITION PERMIT $ 3 00 Z
ALTER_REPAIR_ TOTAL FEE S Q
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALLORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS . DATE IN ECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3 OF THE BUSINESS AND PR ESSIONAL FINAL
CODE OF THE STATE OF IFOR NI A.
SIGNATURE JACK R. ALLEN,SUPERVISI M ICfL ENG-R.
OF PERMITTE
PERMIT VALIDATION CK. M.0. CASH
PLAN CHECK VALIDATION -
:3. 0 s: UGi 28 4 1 D 1 3. ` 0- "<
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE -