HomeMy Public PortalAbout6536 OAK AVE_Mechanical__ 76, ga,l-CES•18-1/70 •�
,• APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING 6 S 3 X-4 DA r�' Sf.
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE•• COUNTY ENGINEER e�f7 e C
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGNEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) MAIL ohegt A,
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NO. TYPE OF APPLIANCE-OR EQUIPMENT FEE ADDRESS �j S' .74 /v -
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ABSORPTION SYSTEM, BTU CITY le W TEL. NO.
CONTRACTOR Ajuj C� �'p�^J 1;
ADDRESS
AIR HANDLING UNIT, CFM
ADDRESS b G Z k,4 A v e
BOILER, HORSEPOWER CITY TEL. NO.
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COMPRESSOR, HORSEPOWER_ STATE LI C.
LICENSE N 765,/ CLASS
VENTILATION SYSTEM o15TRicr No. class I GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU_41�_GRAVITY
FLOOR BTU INSPECTION RECORD
(/(/
HEATER: SUSPENDED UNIT_
WALL
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NEW—ADDITION— PERMIT $ 3 00 2
ALTER_REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
LLATING,
E THAT THE-ABOVE 15 CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
IR CONDITIONING. ROUGH
REBY CERTIFY THAT I AM NOT ACTINO IN VIOLATION 01 aER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINALTHE STATE OF CALIFORNIA.URE JACK R. ALLEN,SUPERVISING MECHANICAL ENG'R.
MITTEE
PERMIT VALIDATION CK. Mi.0. ASH
PLAN CHECK VALIDATION
r fir_ 1 6 4 :tti WL27 4 1 D
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SEE BACK OF APPLICAT ION FOR COMPLETE FEE SCHEDULE