HomeMy Public PortalAbout9551 KENNERLY ST_Mechanical__ 78A384-CE818,-1r-88 APPLI ATION FOR PERMIT T
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS Sj�� /CO
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
N EA FR EST
FOR APPLICANT TO FILL IN CROSS ST o /�
(Print or type only)
OWNER
No TYPE)OFAPPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL NO.
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS
COMPRESSOR, HORSEPOWER CITY TEL. NO
STATE LIC
VENTILATION SYSTEM LICENSE NO. CLASS
DISTRICT NO GROUP ZONE P ESSED BY
EVAPORATIVE COOLER SQ� e —
FURNACE FAU GRAVITY
FLOOR—BTU INSPECTION RECORD
/ HEATER SUSPENDED UNIT
WALL �� ���
a
O
V
\ CY
O
U
LSI
a
C/)
Z
NEW- ADDITION— PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $
Plan check applicant
Name
Address
City Tel. No.
1 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 .,* 1
ROUGH _
I HEREBY CERTIFY THAT I AM NOT A TING IN VIOLATION FINAL O— ..7t
OF CHAPTER 9, DIVISION 3, OF THE USINE NO PROFESSIONAL
CODE OF THE STATE OF ALIF NI
JACK R. ALLEN,SUPERVISI ECHANICAL ENG'R
SIGNATURE
OF PERMITTEE PERMIT VALIDATION CK M O CASH
PLAN CHECK VALIDATION _ _
iBACK OF APPLICATION FOR COMPLETE FEE SCHEDULE