HomeMy Public PortalAbout9502 PENTLAND ST_Mechanical__ 76A364 - CES16 --3-69 APPLICATION FOR PERMIT `
HEATING - VENTILATING - AIR CONDITIONING ;
> COUNTY OF LOS ANGELES BUILDING �O� _ CPN M
DEPARTMENT OF COUNTY ENGINEER A00 HESSTAA
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER LOCALITY e L
COLEMAN W JENKINS,SUPERINTENDENT OF BUILDING' NEAREST w ul
CROSS ST Y
FOR APPLICANT TO FILL IN L
(PRINT OR TYPE ONLY) OWNER / K t
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL NO
CONTRACTOR ft 0
AIR HANDLING UNIT, CFM
.� ADORESSn�1 ` ���
BOILER HORSEPOWER CITY /t ,0dl y io / TEL NO 7I
COMPRESSOR, HORSEPOWER STATE LIC /'1 a
LICENSE NO Is' CLASS `_
VENTILATION SYSTEM DISTRICT NO GROUP ZONE ',PROCESSED BY
EVAPORATIVE COOLER '
r FURNACE FAU GRAVITY_JVEXTI-
LATING
•FLOOR BTUINSPECTION RECORD
HEATER SUSPENDED_UNIT_WALL
0O0
NEW_ADDITION PERMIT S `0
Z
ALTER�EPAIR_ TOTAL FEE $
PLAN CHECK APPLICANTNAM
ADDRESS (�CITY 4/d' V• TEL NO
I HEREBY ACKNOWLEDGE THAT IHAVE READ THI3 AANOSTATE THAT THE ABOVE 15 CORRECT AND AGREE WITH ALL ORDINANCES AN AWS REGULATING HEATAPPROVALSRE
LATING AIR CONDITIONII HEREBY CERTIFY AT I NO ACTING IN VIOOUGHCHAPTER 9 DIVISION T E BU NE55 AHD PROINALCODE OF THE STATE 0 LIFO NIASIGNATURE _ � JACK R ALLEN, SUPERVISING MECHANICAL ENG R
OF FERMI PERMIT VALIDATION M o CASH
PL'ANC ECK ALIDATION -
4- 3 0 61 APPA 4 1! D� 1 5.5 O�j
"EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE