HomeMy Public PortalAbout10305 OLIVE ST_Mechanical__ o�
:6A364 - CE8IS - 3-69 '
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING i +�
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION t
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
�OLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY) OWNER
MAI L
NO. TYPE OF_APPLIANCE OR EQUIPMENT FEE ADDRESS a �-
ABSORPTION SYSTEM, BTU CITY TEL. NO -1[/V
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS
CITY TEL. NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU GRA IY INSPECTION RE/CORD
FLOOR BTU cz— C
HEATER: SUSPENDED UNIT
WALL >
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NEW—ADDITION— PERMIT $ 3 00 z
ALTEREPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT 1 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 IN !S
ECTOR' SIGNATURE
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH �O /
CHAPTER 9, DIVIS N 3, OF THE BUSINESS AN PROFESSIONAL- FINAL
CODE OF THE STA OF CALIFORNIA.
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SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG'
OF PERMITTEE '
PERMIT VALIDATION CK. M.o. CASH
PLAN CHECK VALIDATION
p:. t 20•g 99 .AUG 25 4 1 .D 8.0'0-
;EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE