HomeMy Public PortalAbout9858 FLAHERTY ST_Mechanical__ ,
;���
76A364 -�CE818 =-3-69 APPLICATION FOR PERM '
HEATING - VENTILATING'- AIR CONDITIONING
COUNTY OF LOS ANGELES rADDRES�-�
UILDIN .r- G
DEPARTMENT OF COUNTY ENGINEER � S d BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER OCALITYCOLEMAN W.JENKINS,SUPERINTENDENT OF BUILDINGEAREST ROSS ST. 1:57
FOR APPLICANT TO FILL-IN OWNER /jU 4_=?(PRINT OR TYPE ONLY) r
MAIL /
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS F �LLLJgJvE?/Q T�
ABSORPTION SYSTEM, BTU. CITY ,�piP o r-/-rEL. NO.
CONTRACTO -A >
AIR HANDLING UNIT, CFM
ADDRESS �� �F �
BOILER, HORSEPOWER _
CITY .� y��/�LQ &17-A TEL. NO.
COMPRESSOR, HORSEPOWER STATE
LICENSE NOL� Y CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE P OCESSED BY
EVAPORATIVE COOLER
r (J
FURNACE: FAU GRAVITY
FLOOR BTU INSPECTION RECORD -
HEATER: SUSPENDED UNIT
WALL ��_
O
V
H
V
' w
NEW_ADDITION_ PERMIT , $ 3 00 Z
ALTER_REPAIR_ TOTAL FEE $
• A
PLAN CHECK APPLICANT l
NAME ed
ADX1114 1"01-k
CITY `77l�1�0 �jT TEL. NO. -��
IHEREBY ACKNOWLEDGE THAT I,HAVE READ THIS APPLICATION _
-7v-
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI-
LATING, AIR CONDITIONING. APPROVALS DAT NSPECT SIGNATURE
'
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH 131lQ
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL— FINAL
CODE OF THE STA CALIFORNIA. -
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R:' '
OF PERMITTEE r • -
ma 4 PERMIT VALIDATION CK. M.O. CASH "
PLAN CH VALIDATIO
3; :L, 5LQ MAR 2 4 1 fl 7.0 o"'
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 7