HomeMy Public PortalAbout9569 KENNERLY ST_Mechanical__ 76 n4 - CE878 - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS ✓�a
BUILDING,AND SAFETY DIVISION
JOHN A LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W JENKINS,SUPERINTENDENT OF BUILDINGNEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER C
(PRINT OR TYPE ONLY) MAILq
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CIT TEL NO ^y/G
AIR HANDLING UNIT, CFM CONTRACTOR /C7
ADDRESS
BOILER, HORSEPOWER _
CITY TEL NO
COMPRESSOR, HORSEPOWER STATE LIC
LICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLIE
FURNACE FAU GRAVITY INSPECTION RECORD/
FLOOR BTU
HEATER SUSPENDED UNIT
WALL a
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NEW_ADDITION- PERMIT $ 3 00 z
ALTER_REPAIR_ TOTAL FEE $ QD
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
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 ' A
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE F CALIF RNIA. VL-I�L
SIGNATURE JACK R ALLEN, SUPERV ISI MECHANICAL ENG'R
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
6.4 1 2c-- AUG20 4 1 D 7.0"0-�� IT
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SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ,