HomeMy Public PortalAbout8629 HALDEMAN ST_Mechanical__ 76A364 - CE818 - 3-69 APPLICATION FOR PERMIT,
HEATING - VENTILATING - AIR CONDITIONING,
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL.IN OWNER(PRINT OR TYPE ONLY) "
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE .ADDRESS - -
ABSORPTION SYSTEM, BTU CITY . TEL. N0. ,
AIR'HANDLING UNIT, CFM CONTRACTO
BOILER, HORSEPOWER r
ADDRESS
CITY
COMPRESSOR, HORSEPOWER LICENSE N / CLASS --53
VENTILATION SYSTEM DISTRICT NO. GROUP ZnONE -PROL�DB
EVAPORATIVE COOLER ' 1
� I
FURNACE FAU GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER SUSPENDED UNIT
WALL
a
O
V
- cc
,o
,E-
.0
w
CL
NEW- ADDITION— PERMIT $ 3 00 Z
,ALTER--REPAIR' TOTAL FEE $ /
PLAN CHECK APPLICANT
NAME
ADDRESSocw$rz;l �Q
CIT - TEL•. N0 r ~
PHEREBY ACKNOWLEDGE 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 DATE INSPECTOR'S SIGNATURE
LATINO, AIR CONDITIONING.
I HE ERTIFY THAT I AM NOT ACTING,IN VIOLATION OF ROUGH',
'CHAPTER D OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF TH ACTFORNIA.
SIGNATU JACK R. ALLEN, SUPERVISING MECHANICAL ENG-R.
OF PER T"TEE
PERMIT, VALIDATIONCK. M.o. CASH
PLAN CHECK VAL TION 1 -
�'� �', 2 0 2i,3,' JUL
5 4 1 A ' 1 0 -- 0 Q '
5 E E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE