HomeMy Public PortalAbout5532 GOLDEN WEST AVE_Mechanical__ 76A364-CE8I B-9-68 APPLICATION FOR PERIWIT -
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �J 3'a 6 0 L02F)�j LUSS'
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY-7-ja/V)Pi 01 7
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
(Print or type only) OWNER C! A3 1;j:5-Al
No TYPE,OFAPPLIANCE OR EQUIPMENT FEE
MAI L
ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. Np0- �750���
AIR HANDLING UNIT, CFM CONTRACTOR tl ybRdAJIC�
BOIL E , ORSEP/OWER O ADDRESS//3jj/) J /v�l JL/
COMPRESSOR, HORSEPOWER CITY eO(J1N,+ TEL. NO.33A 9.0
STATE LIC-
VENTILATION SYSTEM LICENSE NO." If C ASS
DISTRICT NO.- GROSJP ZONE P SS D BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY e O
FLOOR—BTU INSPECTION RECORD
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HEATER: SUSPENDED UNIT
WALL CD
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NEW—ADDITION PERMIT $ 3 00
ALTER—REPAIR TOTAL FEE $ /O '6�0
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
HEATING, VENTILATING, AIR CONDITIONING
I HEREBY CERTIFY THAT I AM NOT ACTING IN'VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL
CODE OF &�STATEOF FORNIA '� APPROVALS D TE INSP CTOR'S S NA RE
SIGN G ROUGH
OF
FI NAL
0IDATION JACK R. ALLEN
CK M O. CASH SUPERVISING MECHANICAL ENG'R.
o, z 6 91�13 S& J'-4 1- D 1 0.5-0-
SEE
.50-SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE `�