HomeMy Public PortalAbout10144 NADINE ST_Mechanical__ w r � •
76A364 CESIS - 3 69 *7 FOR PER IT
• HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FADDRESS
DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER Y
COLEMAN W JENKINS SUPERINTENDENT OF BUILDINGAl
FOR APPLICANT TO FILL IN 7EN(PRINT ORTYPE ONLY) OWNER
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS44Z 4
ABSORPTION SYSTEM BTU CITY AIR HANDLING UNIT CFMCONTRACTOR
ADDRESS
BOILER HORSEPOWER
CITY
COMPRESSOR HORSEPOWER 70 STATE LIC
st LICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO GROUP I ZONE BY
EVAPORATIVE COOLER ' 1,,PROCESSED
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FURNACE FAU UG& ITY
FLOOR BTINSPECTION RECORD •i
HEATER SUSPENDED UNIT
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NEW—ADDITION— PERMIT $ 3 00 Z
ALTER--REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
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 VENTI APPROVALS DATE IN R S SI ATURE
LATING AIR CONDITIONING
IHEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL
CODE OF THE STATEM CALIFORNIA FINAL
SIGNATURE JACK R ALLEN SUPER MECHANICAL ENG R
OF PERMITTEE �
PERMIT VALIDATION CK M 0 CASH
PLAN CHECK VALIDATION
L"4775- tR 7 41 0 1 800' V
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE