HomeMy Public PortalAbout9844 LEMON AVE_Mechanical__ 76A364 ?CE818 3-69 APPLICATION' FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING r' "—
DEPARTMENT OF COUNTY ENGINEER ADDRESS _ 0
BUILDING AND SAFETY DIVISION jr T
JOHN A L'AMBIE, COUNTY ENGINEER LOCALITY CR
COLEMAN W JENKINS,SUPERINTENDENT OF BUILDING NEAREST /��
CROSS ST `r` w
FOR APPLICANT TO FILL IN OWNER / s �h PF I
(PRINT OR TYPE ONLY)
MAIL ' 12/
^ Al
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS L A v p
ABSORPTION SYSTEM, BTU CITY A?C-P 17//9 TEL �J!/L NO-4� �/
AIR HANDLING UNIT, CFM CONTRAC�T�O1,R 0
ADDRESS?
BOILER, HORSEPOWER CITY �/ rj T.1/. NO 7��
COMPRESSOR, HORSEPOWER STATE LIC
LICENSE NOVCLASS 0- 5
VENTILATION SYSTEM DISTRICT NO. GROUP. bONE CESSED BY
EVAPORATIVE COOLER /� Q, �l `
FURNACE FAU GRAVITY V CJ
INSPECTION RECORD'
FLOOR BTU
HEATER. SUSPENDED UNIT
WALL >-
a
Ga L, o
cA-r7-' 00 o
0
Lu
W
NEW_ADDITION_ PERMIT $ 3 00
ALTER_REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
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 ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS DATE INSPECT R'S SIGNATURE
LATING, AIR CONDITIONING,
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH 1'
CHAPTER 9, DIVISI J 31 OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STAT CALIF RNIA.
SIGNATURE ` JACK R. ALLEN, SUPERV IN ECHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
C 7 2 17 3 'APR 24 4 D 1 n t5 O N
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE