HomeMy Public PortalAbout9150 OLIVE ST_Mechanical__ 70364 - CESIS - 3-;•9
a ' APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES 7NEARES
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DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEERCOLEMAN W.JENKINS,SUPERINTENDENT OF BUILDINGFOR APPLICANT TO FILL IN(PRINT OR TYPE ONLY)
MAI L
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS �6
ABSORPTION SYSTEM, BTU ITY TEL. N
AIR HANDLING UNIT, CFM
CONTRACTO
ADDRES
BOILER, HORSEPOWER
CIS G° TEL. N
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE ab-'es,
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE I P CESSED BY
EVAPORATIVE COOLER ��--� p' r
FURNACE: FAU GRAVITY 1`
FLOOR BTU INSPECTION RECOR
HEATER: SUSPENDED'—UNIT-
17
USPENDED UNIT / `y /
WALL ! >
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NEW—ADDITION— PERMIT $ 3 00 ' L
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-.
LATING, AIR CONDITIONING. APPROVALS DATE _,�qPECTORJ SIGNATURE
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STA OF IFOR '
SIGNATURE JACK R. ALLEN, SUPER F511;I MECHANICAL ENG'R.
OF PERMITT PERMIT VALIDATION CK.• M.O. CASH
PLAN CHECK VALIDATION
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6.7 3 .6' sEP1.4 4 1 1 1.00"
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SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE