HomeMy Public PortalAbout6348 GOLDEN WEST AVE_Mechanical__ T `
�6A984 `,CTLBiB - 3�9 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ' BUILDIN
DEPARTMENT OF COUNTY ENGINEER ADDRES
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
c,OLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY) OWNER
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO.
CONTRACT
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AIR HANDLING UNIT, CFM
ADDR D
BOILER, HORSEPOWER a�
CITY DO3.10TEL. NO. �✓
COMPRESSOR, HORSEPOWERSTATC
LICE SE N0. CJ52 CLASS C --0
VENTILATION SYSTEM DISTRICT NO. OR ZONE PROCESSE BY
EVAPORATIVE COOLER Oe
FURNACE: FAU G TY
FLOOR - BTU oaf- INSPECTION RECORD
HEATER: SUSPENDED UNIT
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NEW_ADDITION— PERMIT $ 3 00 Z
ALTER--REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
LAD
SS
TEL. N0.
EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
LL ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS AT PECTOR' SIGNATURE
, AIR CONDITIONING.REBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
R 9, DIVISION S, F THE BUSINESS AND PROFESSIONAL FINALVLZU
F THE STATEURE JACK R. ALLEN, SUPERVIS ECHANICAL ENG'R.
MITTE
PERMIT VALIDATION CK. M.O. CASH
PLAN CIrMCK VALIDATION
1 3 4 69 X 9 4 1 D 8.00~ 4_
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE