HomeMy Public PortalAbout10528 1/2 LIVE OAK AVE_Mechanical__ 76A364 - CE818+- 3-69
APPLICATION FOR PERM T
BEATING - VENTILATING - AIR CONDITIONINGOir LOS ANGELES BUILDING
DEPAROTMENT OF COUNTYENGINEER ADDRESS ./ '/�
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN
OWNER
(PRINT OR TYPE ONLY)
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS C;•A� `�U�/�//
ABSORPTION SYSTEM, BT 000 (, TE,L✓NO -
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AIR HANDLING UNIT, CFM 1
BOILER, HORSEPOWER
TEL. N i, G
COMPRESSOR, HORSEPOWER ^ LIC.
� 10� CLASS
VENTILATION SYSTEM . GROUP zONE PROCESSED BY
EVAPORATIVE COOL R FURNACE. FAU G A ITYFLOOR ` BTU C� INSPECTION RECORD
HEATER SUSPENDED UNIT }
WALL dO
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NEW_ADDITION_ PERMI T $ 3 00
ALTER—REPAIR— TOTAL FEE $ 43
PLAN CHECK APPLICANT
NAME
ADDRESS
C I-TY TEL. NO.
1 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 D TE INS TOR'S SIGNATURE
LATING, AIR CONDITIONING.
I HEREBY CERTIFY T T I AM NOT ACTING IN V LATION OF ROUGHLZ
CHAPTER 9, DIVIS 10 OF THE-13 NESS AN OFES ONAL FINAL '
CODE OF THE STAfTfFIOF C L-fFO RN IA.
SIGNATURE / �`•e� JACK R. ALLEN, SUPER ECHANICAL ENG'R.
OF PERMITTEFr
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
(; .6 6 3"3 Jim 23 4 .1 D ' , 1-3L0- co
-E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
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