HomeMy Public PortalAbout5516 MCCLINTOCK AVE_Mechanical__ 64-�E ,B-B_BB• APPLICATION FOR PERMIT �C /°!�
' • HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Fj La CL}L��LbL
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
EEEE1ENIIIIIIIIIIIII NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
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OWNER 'P_L-S L � �
No.. TYPEJOF APPLIANCE OR EQUIPMENT FEEMAIL {�
ADDRESS
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ABSORPTION SYSTEM, BTU CIT Y��to L TEL. O. ✓1 U
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AIR HANDLING UNIT, CFM CONTRACTOR GL_1 0 L _ dP'5 I
BOILER, HORSEPOWER ADDRESS2_t L5, U LL_�'
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COMPRESSOR, HORSEPOWER CITY ✓ TEL. N&.
STATE LI C.
P VENTILATION SYSTEM L I CENSENO.Qz f'o� CLASS 7
DISTRICT NO. I GROUP ZONE PROCESSED BY
EVAPORATIVE COOL R
FURNACE: FAU GRAVITY ✓ S, O R--?
FLOOR—BTU 0002 INSPECTION RECORD
HEATER:.SUSPENDED UNIT
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NEW_ADDITION PERMIT. $ a 00
ALTER—REPAIR— TOTAL FEE $
Plan check applicant L L4-c-L_t0 Lq L°a!L1_'
Name "
Address S (rJ
City WLLL_Tel_ AD. e8e)
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 ATE I CTOR'S YGNAARE
LATING,AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY TH AM NOT AC VIOLATION
OF CXAPTER 9, DI !BID , OF HE BUSIN A P ESSIONAL FINAL 117..
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CODE OF THE STATE CALIF NIA. JACK R. ALLEN,SUPERVI G ' CHANICAL ENG'R.
SIGNATURE
OF PERMITTE -PERMIT VALIDA`I'IO CK. M.O. CASH
PLAN CHECK VALIDATIO
[.SAP-)9397� 174 D 9 t-N 4
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE