HomeMy Public PortalAbout9321 PENTLAND ST_Mechanical__ 16A364 � CE818~- 3-69 C
APPLICATION FOR PEMIR T
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER LOCALITY
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM BTU CITY TEL NO �-
AIR HANDLING UNIT CFM CONTRACTOR
ADDRESS/7
BOILER HORSEPOWER
CITY ;Tc- TEL NO
COMPRESSOR HORSEPOWER /
LICENSE NO 7/ 6- CLASS_
VENTILATION SYSTEM DISTRICT NO GRO IZOOJNE PROLES BY
EVAPORATIVE COOLER
FURNACE FAU GRAVITY_ / \
FLOOR BTU - - INSPECTION RECORD
HEATER SUSPENDED-UNIT-
9
USPENDED_UNIT_
WAL
L)
V
O
H-
V
w
a
NEW—ADDITION— PERMIT S 3 00
Z
ALTER--REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY 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 AT SPECT R 5 SIGNATURE
LATING AIR CONDITIONING
HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9 DIVISION 3 OF THE BUSIN SS AND PROFE5510NAL FINAL
CODE OF THE STA OF C FORNIA (�
r
SIGNATURE R � JACK R ALLEN, SUPERVISING MECHANICAL EN
OF PERMITTEE
PERMIT VALIDATION CK M o CASH
PLAN CHECK VALIDATION
Irn. 4-6 9 6R APR 29 4 1 D 6.00,~.
'EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE