HomeMy Public PortalAbout5323 GOLDEN WEST AVE_Mechanical__ 76A364 CE81 B'-1/70- --
APPLICATIO F R P, 'RMIT
HEATING - VENTILATING - AIR CONDITIONING -
COUNTY OF LOS ANGELES ADDRESS
DEPA•RTMENT'OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. L"AMBIE,�COUNTY ENGINEER NEAREST
COLEMAN W.'JENKINS, SUPERINTENDENT OF BUILDING CROSS ST. `
FOR APPLICANT:TO .FILL"dN OWNER
(PRINT OR TYPE'ONLY)
MAIL
NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS��I
CIT TEL. NO.`=G-�/
ABSORPTION SYSTEM, BTU 3'
+ ? CONTRALTO ' '
-Al R•HANDL ING UNIT, CFM _
ADDRESS C "
BOILER, HORSEPOWER CIT TEL. NO,
COMPRESSOR,-HORSEPOWER STATE LIC.
LICENSE-NO. G CLASS
VENTILAT10N''SYSTEM DISTRICT NO CLASS GROUP 70NlE SED BY
EVAPORATIVE COOLER - ao
68 1 '
FURNACE: FAUGRAVITY 1'NSPECT,ION' RECORD
FLOOR BTU'
HEATER: SUSPENDED UNIT
WALL
V
ADDITION- 'PERMIT $ 3 00 N
ALTER_REPAIR_ TOTAL FEE $
PLAN CHECK`A,PPLICANT
rNAME
ADDRESS
O C
CITY TEL NO
1 HEREBY AC KNOWLEDGE.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- APPROVALS ,D E .ECTOR'SS ATURE
EATING, AIR CONDITIONING, - - ,
ROUGH,
•1 HE _ CERTIFY THAT TAM NOT ACTING IN VIOLATION
OF CHAP 9, ON 3 E BUSINESS AND'PROFESSIONAL FINAL
CODE OF THE ORNIA.
SIGNATURE JACK R. ALLEN;SUPERVISING MECHANICAL ENG'R.,
OF-PERMIT EE < '
PERMIT VALIDATION• I� M:,O. CASH y
PLAN CHECK VA r ATION
r 5 4 f 1 .•0.5 0~ �
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE "