HomeMy Public PortalAbout6362 OAK AVE_Mechanical__ '6A364 - cEB,B - 3-69 APPLICATION-FOR-'PERMIT
HEATING - VENTILATING-- AIR CONDITIONING ll
COUNTY OF LOS ANGELES FNEAREST
NG /
DEPARTMENT OF COUNTY ENGINEER S V
BUILDING AND SAFETY DIV.ISION Y /�
JOHN A. LAMBIE, COUNTY ENGINEER TY IJ�L I�I�k (il7�Y C-4-
JOHN
COLEMAN W.JENK.INS,SUPERINTENDENT OF BUILDING !�
ST. K�fr A
FOR APPLICANT TO FILL IN OWNER ^I L FVAzA�Ir
06
(PRINT OR TYPE ONLY)
MAIL (0,3
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NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS Ip (�j ^ L�•
ABSORPTION SYSTEM, BTU CITY eM Q. TEL. N0.
AIR HANDLING UNIT, CFM CONTRACTOR
IL
ADDRESS
BOILER, HORSEPOWER
CITY TEL. N0. —
COMPRESSOR, HORSEPOWER_ { ApSTATE LIC.
lJ LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER �� '?, � }�
FURNACE: FAU GRAVITY -� C
FLOOR 'BTU OTS (f' INSPECTION RECORD
HEATER: SUSPENDED NIT
WALL >
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L
0
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L
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NEW ADDITION_ PERMIT $ 3 00
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- APPROVALS DATE I TOR'S SIGNATURE
LATING, AIR CONDITIONING. i
I HEREBY CERTIFY THAT I AMNOT C I LATION ROUGH
R-2772 1 406
CHAPTER 9, DIVISION 3, OF THE BU SS ROFE5510 L I'
CODE OF THE STA L ITO FINAL
SIGNATURE JACK R. ALLEN, SUPERO MECHANICAL ENG'R.
OF P �
PERMIT VALIDATION cK.• M.O. CASH
PLAN CHECK VALIDATION
LAf:01 8 8 49-� AUG 1 4 1 D 1 5.5 0,-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE