HomeMy Public PortalAbout5937 OAK AVE_Mechanical__ 76AZ64 — CE818 — 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING / /01/
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION /meq
JOHN A LAMBIE COUNTY ENGINEER LOCALITY /!� ' ry
/
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING CNEAREST
ROSS ST IAS TO /V
Af
FOR APPLICANT TO FILL IN
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(PRINT OR TYPE ONLY) OWNER
MAIL /
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS r
ABSORPTION SYSTEM BTU CITY TEL NO �(p
CONTRAQJQR
AIR HANDLING UNIT CFM
ADDRESS
BOILER HORSEPOWER
CITY TEL NO
COMPRESSOR HORSEPOWER STATE LIC
LICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO GROUP ZONE PRO ESSED By
EVAPORATIVE COOLER
FURNACE FAU !/ GRAVITY V INSPECTION RECORD
FLOOR BTU �V+ AQ-'3_ 46
HEATER SUSPENDED UNIT
WALL }
a
O
V
oe
10-
U U
W
a
N
NEW—ADDITION— PERMIT $ 3 00 Z
ALTER--REPAIR_ TOTAL FEE $ a r
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
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 DATE I CTOR S IGNATURE
LATING AIR CONDITIONING
I HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE 0 LIFORNIA
SIGNATURE f' JACK R ALLEN SUP RVISING E ANICAL EN
OF PERMITTEE
PERMIT VALIDATION CK M 0 CASH
PLAN CHECK VALIDATION
1 7 0C13 4 1 D 8 00N v
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE