HomeMy Public PortalAbout9459 LIVE OAK AVE_Mechanical__ , 76A364-C'E818-,J70 _ APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS G
DEPARTMENT OF COUNTY ENGINEER
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BUILDING AND SAFETY DIVISION LOCALITY T• ��
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST rl �
CROSS S.T.
FOR APPLICANT TO FILL IN OWNER '
(PRINT OR TYPE ONLY) J
MAIL
NO TYPED-FAPPLIANCEOR EQUIPMENT FEE ADDRESS
CITY �/ 1, EL. NO.
ABSORPTION SYSTEM, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
, ADDRESS /� --7 el./ �L/ /i
BOILER, HORSEPOWER CITY NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO.:z CLASS
VENTILATION SYSTEM DISTRICT NO CLASS GROUP Z E
EVAPORATIVE COOLER � ,2'OCESSEY
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FURNACE: FAU_GRA.1(1.T]C_�� � INSPECTION RECORD
FLOOR BTU EJtJC�CO
HEATER: SUSPENDED UNIT_
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NEW -ADDITION- PERMIT $ 3 00 ?
ALTER-- REPAIR- TOTAL FEE $ 6
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
LANBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION '
E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS D TE INSP TOR'S SIGN TURE
IR CONDITIONING
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REBY CERTIFY THAT I AM NOT ACTING IN VIOLATIONER9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINALTHE STAT�}OF CALIFORNIA
URE 7(I JACK R. ALLEN,SUPERVISING MECHANICAL ENG'
MITT
PERMIT VALIDATION CK M.0. CAS
PLAN CHECK VALIDATION
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SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE