HomeMy Public PortalAbout9961 NADINE ST_Mechanical__ r- .
i` 76A364 _ CEB,B - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS'
BUILDING AND SAFETY DIVISION
I JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY , 2
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING -NEARE$T
CROSS ST:,
�+ FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY) OWNER,„, -2•»
MAIL d�
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
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ABSORPTION SYSTEM, BTU CITY ; a TEL. NO,
AIR HANDLING UNIT, CFM CONTRACTOR
ADDRESS n
BOILER, HORSEPOWER
CITY / TEL NO. "!'
COMPRESSOR, HORSEPOWER ST TE LIC.
LICENSE i10. ' CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP .ZONE I., fHOCESSED BY
�• EVAPORATIVE COOLER
FURNACE: FAU GRAVITYT'f'
�s ^3 ` t `
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED . UNIT,
WALLui
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OC
PERM,I T $ 3 00
NEW_ADDITION_ O
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ALTER,REPAIR_ TOTAL FEE .$ «
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,VENTI-
LATING, AIR CONDITIONING. APPROVALS DATE INSPECTOR'S SIGNATURE
I HEREBY CERTIFY THAf,:'I AM NOT ACTING IN VIOLATION OF ROUGH -.
CHAPTER 9, DIVISION 3„'tlF THE BUSINE'SS-"D PROFESSIONAL FINAL
CODE OF THE STATE OF1�LIF RN IA. ;;y
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SIGNATURE „z,�, - JACK R. ALLEN, SUPHRVISING MEOHANICAL ENG'R.
OF PERMITTEE
,h `-PERMIT VALIDATION K. 'M.O. CASH
PLAN CHECKV IDATION
n
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE