HomeMy Public PortalAbout10781 DAINESWOOD DR_Mechanical__ 76A364/ICE818 - 3-69_ APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING ,/fJ
DEPARTMENT OF COUNTY ENGINEER ADORESS �, '�Y/
BUILDING AND SAFETY DIVISION + �.
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY f/
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEARESTG+ � ��
CROSS ST. ii,„'
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 22
ABSORPTION SYSTEM, BTU CITY —( i TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR J fw
ADDRESS
BOILER, HORSEPOWER
CITY9 H TEL. N0. 2-J yp
COMPRESSOR, HORSEPOWER lSTAT LIC.
2 \
LICENSE N0. 52 ie) 7 CLASS CJ
VENTILATION SYSTEM /DISTRICT NO. ,GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAUILft_ RAVITY .J CCCJJJ `�C/
P(NSCTION RE RD
FLOOR BTU
HEATER: SUSPENDEDUNIT
WALL
1 V
OF
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NEW-ADDITION- PERMIT S 3 00 Z
ALTER REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME
I
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-
LATINS, AIR CONDITIONING. APPROVALS ATE (NSP CTOR'S SIGNATURE
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, THE BUSINESS A PROFESSIONAL FINAL
CODE OF THE STATE O LIFORN IA.
SIGNATURE JACK R. ALLEN, SUPERV ECHANICAL ENG-R.
OF PERMITTEE 'u
PERMIT VALIDATION CK. M.O. CASH
PLANC CK VALIDATION
LiUo n a t � NOV 21 a 1 1 2.Q 0- ;
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 'v V