HomeMy Public PortalAbout4929 HELEO AVE_Mechanical__ 7t✓ 1 ,-)CE818 - 3-69 P' APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONINV
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 492.9
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY C L'. G
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST. Lj�
FOR APPLICANT TO 'FILL IN
(PRINT OR TYPE ONLY) OWNER
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
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ABSORPTION SYSTEM, BTU CITY EL. NO.
AIR HANDLING UNIT, CEM CONTRACTOR eO
ADDRESS Q , 3 Z (y
BOILER, HORSEPOWER
_ CITY TEL. N0.
COMPRESSOR, HORSEPOWER 2' S
LICENSE NO. 2 Q 1 CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER '
FURNACE: FAU V GRAVITY
FLOOR BTU o 000' INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL C-
0
O
F-
V
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NEW—' ADDITION— PERMIT $ 3 00,
ALTER_REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT I
NAME
ADDRESS �
CITY TEL. N0. EU
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 D TE INSP TOR'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 STATE OF CALIFORNIA.
SIGNATURE JACK R. ALLEN, SUPERV MECHANICAL ENG'R.
OF PERMITTEE -
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
t..Ar11 s 721`1�0` . AUG25 4 1 D 1 1.0 0
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE