HomeMy Public PortalAbout9732 OLIVE ST_Mechanical__ 7sA3e4 - cee,B - 3-69 APPLICATION FOR PERMIT
HEATING VENTILATING AIR CONDITIONINGlr
COUNTY OF LOS ANGELES fNEAREST
LDING
DEPARTMENT OF COUNTY ENGINEER RESS P 73 `.
BUILDING AND SAFETY DIVISION 077(Z JOHN A. LAMBIE, COUNTY ENGINEER ALITY
;:OLEMAN W.JENKINS,SUPERINTENDENT OF BUILDINGSS ST.
FOR APPLICANT TO FILL IN OWNER /
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 0 f�
ABSORPTION SYSTEM, BTU .606 �(_ M-� CITY TEL. NO.
`T V CONTRACTOR Cl
AIR HANDLING UNIT, CFM= /
6
BOILER, HORSEPOWER ADDRESS
CITY Q TEL. N0. 7 d
COMPRESSOR, HORSEPOWER
- STATE LIC.
LICENSE NO. O *7 dZ CLASS 12
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER �` Q ilf �
FURNACE: FAU GRAVITY
INSPECTION RECORD
FLOOR BTU
HEATER: SUSPENDED UNIT
WALL
C
O
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NEW—ADDITION— PERMIT $ 3 00
ALTER_REPAIR_ TOTAL FEE $ 7
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 INSPECTOR'S SIGNATURE
LATING,AIR CONDITIONING.
1HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL C��+ f �. )
CODE OF THE STATE OF ALIFORNIA. ��i rt 5-;"��'
SIGNATURE JACK R. ALLEN, SUPERVISI ECHANICAL ENG'R.
OF PERMITTEEor A
PERMIT VALIDATION M.D. CASH
PLAN CHECK VALIDATION
AUG26 4 1 0 7.0 0
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE