HomeMy Public PortalAbout5810 MUSCATEL AVE_Mechanical__ GA364_CE BiB_B-GB APPLICATION FOR PERMIT �yj �
HEATING VENTILATING - AIR CONDITIONING
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY `
FOR APPLICANT TO FILL IN CROSS NEAREST.
(Print or type only) ,
OWNER
No.. TYPE)OFAPPLIANCE OR EQUIPMENT FEE
MAI L
ADDRESS
ABSORPTION SYSTEM, BTU. , CITY S JEL. NO. �'-
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS
COMPRESSOR, HORSEPOWER CIT TEL. NO.
STATE LI
VENTILATION SYSTEM STATE 11 q CLASS
DISTRICT NO. GROU ZONE PROD BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY �
FLOOR—BTU PEC ION RECORD
HEATER:.SUSPE D UNIT
WALL IO 7 �. f G'62(� ✓�tCc I y
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NEW—ADDITION— PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE S
Plan check applicant
Name
Address
City Tel. No.
I 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, V NTI- APPROVALS ATE INSP CTOR'S SIGNATURE
LATINS,AIR CONDITIONING,
ROUGH
I HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLA N v
OF CHAPTER 9, DIVISION 9, OF TH�E$q SINESS AND PROFESSION L FINAL � / ,C„+ :r
CODE OF THE STATE 0 LIFOR i
JACK R. ALLEN,SUPERVISIN ECHANICAL ENG-R.
SIGNATURE ' PERMIT VALIDATIO CK. M.O. CASH
OF PERMITTEE .
r, PLAN CHECK VALIDATION
� n 2 14 1Z. OCT A 7.0 0.-,
IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE