HomeMy Public PortalAbout9914 HOWLAND DR_Mechanical__ 76A364-CE818-,/7D• APPLICATION FOR PERMIT
HEATNG -VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADIL'IIN
DEPARTMENT OF COUNTY ENGINEER
SS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,.SUPERINTENDENT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN OWNER" �f S
(PRINT OR TYPE ONLY)
MAIL
N O. TYPE.OF APPLIANCE,OREQUIPMENT FEE ADDRESS �
CITY TEL. NO.
ABSORPTION SYSTEM, BTU
CONTRACTOR ♦ r
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER
CITY r TEL. NOlgSY G h
COMPRESSOR, HORSEPOWER UU STATE LIC.
LICENSE NO. CLASS C 2 O
VENTILATION SYSTEM DISTRICT N0. CLASS GROUP ZONE PROCESSED BY
1
EVAPORATIVE COOLER c'
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FURNACE: FAU_GRAVITY
FLOOR BTU ORINSPECTION RECD
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HEATER: ,SUSPENDED UNIT_
WALL /!
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NEW-ADDITION- PERMIT $ 3 00 Z
ALTER REPAIR_ TOTAL FEE $ ed
PLAN CHECK APPLICANT I `J [,
NAME
ADDRESS
CITY " TEL'.NO:
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCESAND LAWS'REGULATING HEATING,-VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH ��3 r I
I HEREBY CERTIFY THAT I' AM. NOT ACTING IN VIOLATION, r
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF IFORNIA.
.SIGNATURE JACK R. ALLEN,SU RV SING MECHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATIOiV
5 1::2 WAN:1, .3`0 1 3.0 O a
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE /