HomeMy Public PortalAbout10526 LIVE OAK AVE_Mechanical__ 76A364 -*CE818 ,3-69 - APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING !� f e)e—
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DEPARTMENT-OF COUNTY ENGINEER ADDRESS / (�
BUILDING AND SAFETY DIVISION
JOHN A. LAMSIE, COUNTY ENGINEER LOCALITY c e
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST y ` ���� z
CROSS ST. j /
FOR APPLICANT TO FILL INOWNER
(PRINT OR TYPE ONLY)-
MAIL () �� f . �
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS /✓ ,/�� ,/'1, f// �(,`'\
ABSORPTION SYSTEM, BTU d() v CITY 1Q 6/y TEL' NO / 7
AIR HANDLING UNIT, CFM V�/ CONTRACTOR // 0,/]'�_/,��f
ADDRESS (Q .S' ( `'�"
BOILER, HORSEPOWER n J
CITY �(�/� /I� L/)-7EL. NO.
COMPRESSOR, HORSEPOWER P
LICENSE NO. 44(3 91, CLASS
VENTILATION SYSTEM DISTRICT NO. GRO
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P ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE FAU G AVITY
FLOOR BTU D r INSPECTION RECORD
HEATER* SUSPENDED UNIT 9 .'Z
WALL J
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Cie
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NEWVADDITION_ PERMIT $ 3 00 n Z
ALTER--REPAIR— TOTAL FEE $ /3 ot
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. N0.
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION ,
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI-
LATING, AIR CONDITIONING. APPROVALS CITE PECTOR'S SIGNATURE
Lo/IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH J
CHAPTER 9, DIVISION 3, OF THE U NESS AND PROFESSIONAL FINAL l
CODE OF THE STA OF A ORNI
SIGNATURE JACK R. ALLEN, UPERVIS G MECHANICAL ENG R.
OF PERMITTEE
PERMIT VALIDATI N CK. M.O. CASH
'PLAN CHECK VALIDATION
,iLL,iuo. • ? ^ 6 ` _12 3 4 1 13.00-
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3.G0N=E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE