HomeMy Public PortalAbout6540 OAK AVE_Mechanical__ ji�,YL & 7
76A364-CEB1B-1/70 APPLICATION FOR PERMIT
F `
_. HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING //�
DEPARTMENT OF COUNTY ENGINEER ADDRESS (O D �n
BUILDING AND SAFETY DIVISION LOCALITY42
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN OWNS ,
(PRINT OR TYPE ONLY)
MAIL (O 5 .,b
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDREPP
CITTEL. NO. 4'
ABSORPTION SYSTEM, BTU
CONTRACT
AIR HANDLING UNIT, CFM'
ADORE�S
BOILER, HORSEPOWER CIT-STATE R TEL. NO.�fS-�/J�(�f
COMPRESSOR, HORSEPOWER LICENSE NO. CLASS
C ASS C ��
VENTILATION SYSTEM t DISTRICT N0. LASS GROUP
'ZONE
l ! kPRO.ESSED BY
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EVAPORATIVE CO, LER ��
IF I
FURNACE: FA AVITY /�' INSPECTION RECORD
FLOOR BTU /
HEATER: SUSPENDED UNIT_
WALL
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NEW—ADDITION— PERMIT $ 3 00 to
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ALTER-REPAIR- TOTAL FEE $ ,
PLAN CHECK APPLICANT rO
NAME
ADDRESS
CITY TEL.NO.
LLATING,
BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE 1 PE TOR'SSIGNATURE
1p CONDITIONING. ROUGH
EBY CE TI Y THAT I AM NO ACT 0 IN VIOLATION oeER 9, D N 3, OF THE BU ESS ND PROFESSIONAL FINAL
THE STAJ'nURE JACK R. ALL , UPERVIS ME HANICAL ENG'R.
MITTE
PERMIT VALID ON
CK. M.0. CASH
PLAN CHECK VALIDATION
LAUo "i 2 0 5', A?R 1 D 1 5.5 0cm
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE