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HomeMy Public PortalAbout5212 GOLDEN WEST AVE_Mechanical__ --I�K . _ 76A364-CE818 -1/70 ��PPATION FO RMIT - - HEATING = VENTILATING,- IR, CONDITIONING 4COUNTY OF LOS.ANGELES BUILDING 1 $� DEPARTMENT OF COUNTY ENGINEER ADDRESS' l v BUILDING AND SAFETY'DIVISION '•LOCALITY JOHN•A. LAMBIE,,CouNTr ENGINEER NEAREST COLEMAN W. JENKINS, SUPERINTENDENT OFPBUILDING CROSS ST. FOR APPLICANT TO, FILL IN- OWNER (PRINT OR TYPE ONLY) + MAIL N0. TYPE 0F,APPLIANCEOR EQUIPMENT FEE ADDRESS CITY TEL. NO. ABSORPTION SYSTEM, BTU ` CONTRACTOR, I an R AIR HANDLING.UNITJCFM ADDRESS.59 () + BOILER, HORSEPOWERcJ CIT TEL. NO. COMPRESSOR, HORSEPOWER tic .STATE, L �-7 LIC. LICENSE NO. `I CLA VENTILATION SYSTEM ah': DISTRICT NO CL'A59 GROUP i ZONE OCESSED BY EVAPORATIVE COOLER C,2/ Q_i FURNACE: FAUG ITY INSPECTION RECORD FLOOR BTU HEATER: ,SUSPENDED UNIT WALL 0 7 W NEW ADDLTION— PERMIT'-, $ 3 00 . Z ALTER_REPAI�R— TOTAL FEE ' $ D© PLAN CHECK APPLICANT NAM - ADDRESS 1q r� CIT TEL NgQXa I HEREBY'AC KNOWLEDGE THAT ?HAVE READ THIS APPLICATION AND'STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ' WITH ALL,ORDINANCES AND LAWS REGULATING •HEATING, VENTI-. 'APPROVALS ~DATE '� - INSPECTOR'S SIGNATURE .LATANG, AIR''CONDITIONING. 1 I ROUGH .I HEREBY CERTIFY, THAT I' AM NOT ACTING -IN VIOLATION OF CHAPTER 9, DIVISION 3, OF THE•BU51 S ND PROFESSIONAL,' FINAL •J ��; CODE OF THE STATE OF. lFOR A. SIGNATURE, JACK R. ALLEN,SUPERVISIN ECHlANIdAL' ENG-R.'- OF P_ERMrITTEE mmed PERMIT VALIDATION ,CK.'.r ' M 0. CASH PLAN,CHECK VALIDATION'. '- 9­ir 5, AL'IDATION'. '- 9­ir5+ 2JUL 29 4 j o,_ 1.3 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE