HomeMy Public PortalAbout5657 PAL MAL AVE_Mechanical__ reAB _C' eBle a ee APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING(
COUNTY OF LOS ANGELES
•bEPARTME9T OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN IN JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS ST
(Print or type only)
OWNER
No TYPEJOF APPLIANCE OR EQUIPMENT FEE MAIL
ADDRESS -
ABSORPTION SYSTEM BTU CITY TEL NO
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER HORSEPOWER ADDRESS VN /
COMPRESSOR, HORSEPOWER CITY 9,0,03_2 TEL NOZ
STATE LIC
VENTILATION SYSTEM LICENSE NO CLASSG.ZO
DISTRICT NO GR0J1P ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE FAU— V7-T�y�
FLOOR—BTU lCJI VV SFIECTION RECORD
HEATER SUSPENDED—
UNIT-WALL
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NEWX-ADDITION PERMIT E 3 00
ACTER—REPAIR TOTAL FEE S 17.
Plan check applicant
Name
Address
City Pel No
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENT;- APPROVAL! GATE PECTOB 9 91G NRE
LATINO AIR CONDITIONING '
ROUGH t
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER B DIVISION 3 OF THE BUSINESS AND PROFESSIONAL FINAL woetl
CODE OF THE STATE OF CAL ORNIA
JACK R ALLEN,SUPERVISIN CHANICAL ENG'R
SIGNATURE — TI
PERNPP VALIDAO CK O CASH
OF PERMITTE
PLAN CHECK VALIDATION
' AC„ 9 25 7 APR Cl 4 1- D 7.0 0...
3EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE