HomeMy Public PortalAbout10604 FREER ST_Mechanical__ 76A'364 + Ca818 f3-69 s APPLICATION FOR PE MIT -
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FADDRESS
DEPARTMENT OF COUNTY ENGINEER � O BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING D EFFOR APPLICANT TO FILL INOWNER �yCM
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MAIL ,
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS I X649 FREE
ABSORPTION SYSTEM, BTU CITY (SSTEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR
ADDRESS
BOILER, HORSEPOWER
CITY TEL. NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. 'CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONES PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY �/ V
FLOOR BTU-- INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL,
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CL
0
V
0
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U
U-1
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NEW—ADDITION PERMIT $ 3 00 Z
ALTER_REPAIR_ TOTAL FEE $
• P N CHECK APPLICANT
NAME
ADDRESS IZIE E
CITY L r.g TEL. N0. 3-
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI-
LATING, AIR CONDITIONING. APPROVALS DATE INSPECTOR'S SIGNATURE
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL. J
CODE OF THE STATE OF CALIFORNIA. FINAL ATOS O/S D
i
SIGNATURE JACK R. ALLEN, SUPERVIS MECHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
4' 2 2 8 4 1 0 1 1 .0 0-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE