HomeMy Public PortalAbout4919 HELEO AVE_Mechanical__ 76 A364-CE818�f/70 b PPL AYI®IV F® ERMIT
HEATING - VENTILATING - AIR CONDIVIONIN
COUNTY OF LOS ANGELES ADDRESS
DEPARTMENT.OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER `
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OFAPPLI.ANCE•OR EQUIPMENT FEE ADDRESS
CITY. TEL. NO._.
ABSORPTION SYSTEM, BTU
CONTRACTOR / e-
'AIR HANDLING UNIT, CFM
ADDRESS*1910Bc�*191 OILER, HORSEPOWER 14 6 G /
CITY C TEL. N �`
COMPRESSOR, HORSEPOWER STATE LI Cr
LICENSE NO. Q C
VENTILATION SYSTEM DISTRICT NO. I CLASS� GROUP JaE PROC SSED BY
EVAPORATIVE COOLER
FURNACE:. FAUGRAVITY INSPECTION RECORD
FLOOR BTU
HEATER: ,SUSPENDED - UNIT_
WALL
C
C.7
C
C
H
G:
LL
d
u.
NEW. ADDI TiON PERMIT $ 3 00 Z
ALTER-REPAIR- TOTAL FEE $ _
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT 1 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 TE 1 PECTOR'S IG TURE
LATING,-AIR CONDITIONING. -
ROUGH � Q
I HEREBY CERTIFY THAT I AM' NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL -
CODE OF THE STATE 0 CALIFORNIA.
SIGNATURE 00, JACK R. ALLEN,SUPERVISING CHANICAL ENG'R.
OF PERMITTE
PERMIT VALIDATION CK. M.0. •CASH
PLAN CHECK VALIDATION
246673; jug26a1 D 1..0,50A N
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE