HomeMy Public PortalAbout4923 HALLOWELL AVE_Mechanical__ =6A364 - CE•91? APPLICtATION FO PERMIT ✓J_
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 (7 e�
73
ABSORPTION SYSTEM, BTU CITY TEL. N0.
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER _
N044
COMPRESSOR, HORSEPOWER To- CITY, TEL.STATE 4 Z LIC.LIC. C 7/
Qa � r 1�
LICENSE N0. J CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLERr l
FURNACE: FAU GRAVITY
FLOOR BTU G INSPECTION RECORD
HEATER: SUSPENDED UNIT }
WALL a
O
V
O
_ F
V
Lu
a
V)
Z
NEW-ADDITION PERMIT S 3 00
ALTERREPAIR_ TOTAL FEE S
PLAN CHECK APPLICANT
NAME
ADDRESS f
CITY TE
IHEREBY 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
LATING, AIR CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL `
CODE OF THE STAT CALIFORN
SIGNATURE JACK R. ALLEN, SUPERVI MECHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION•
0,12,`2 ,2w .� seP 2 .4 1 D 1 3.4 Q,-
`•EE BACK OF APPLICATION•FOR COMPLETE FEE SCHEDULE