HomeMy Public PortalAbout6164 LOMA AVE_Mechanical__ 76A364 - CE818 -"3-69' - +./ T6
APPLICATION FOR PERMIT
HEATING VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ,ENGINEER LOCAL ITC�
COL'E'MAN W.JENKINS,SUPER;INTE'NDENT OF BUILDING NEAREST y
CROSS ST. Ci
FOR APPLICANT TO 'FILL IN DWNE -/"C
(PRINT OR TYPE ONLY) MAIL
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NO: .TYPE OF APPLIANCE OR EQUIPMENT,. FEADDRESS'
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ABSORPTION SYSTEM, BTU CIT TEL: NO;: -
CONTRACTOR. a
AIR HANDLING UNIT,-CFM
ADDRESS f 5-Z
BOILER, HORSEPOWER
CIT;Y TEL. NO, 7,,/
/ COMPRESSOR, HORSEPOWER p
LICENSE NO. � CLASS
VENTILATION SYSTEM DISTRICT NO. GRRODUP� '.ZONE- PROCESSED BY
EVAPORATIVE'COOLER
/ FURNACE: FAU-3,!,- -GRAVITY
INSPECTION RECORD
FLOOR
HEATER: SUSPENDED UNIT �F
WALL /-`/f) _%, 1"A ®d A.e.l'ljiA–' o}..
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C N
Z
NEW ADDITION— PERMI T $ 3 00 "
ALTER--REPAIR_ FEE,, $ av
_R'EPAIR_ ,
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. N0.
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,V.ENTI
LATING, AIR CONDITIONING. "APPROVALS - DVt E Z IN P CTOR'S I TURE
IHEREBY CERTIFY THAT I AM NOT ACTI��FATIO
GN. VI CN OF 'ROUGH -
CHAPTER 9, DIVIS1010 310F THE BUSINESS AND P F SIGNAL FINAL
CODE OF,THE STA .E OF CALIF j ,
SIGNATURE JACK R ALLEN; SUP3ERVISING MECHANICAL ENG'R.
OF PERMITTE -
PERMIT VALIDATION ,r cw :- M.D: CASH,
PLAN CHECK VALIDATION
r !'r
64 7. 9 UG 2 5 .A- 1'..D
.'-EEBACK OF APPLICATION FOR COMPLETE FEE SCHEDULE - -