HomeMy Public PortalAbout5188 PERSIMMON AVE_Mechanical__ 6ASE4-•CkSI8_8_6B APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
J COUNTY OF LOS ANGELES
IIEPARTMENT OF.COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 6
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. .v?' �-
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OWNER
NO. TYPEIOFAPPLIANCE OR EQUIPMENT FEE
MAI L
ADORES
ABSORPTION SYSTEM, BTU CITY TEL. NO.
S�s�3d-33
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS
COMPRESSOR, HORSEPOWER CITY r' TEL. NO.
STATE LI C. Ls
VENTILATION SYSTEM LICENSE NO. CLASS
•y DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER /�
FURNACE: FAU GRAVITY ✓ a C/
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FLOOR-BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT
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NEW_ADDITION PERMIT $ 3 00
ALTER_REPAIR TOTAL FEE $
Plan check applicant
Name
Addres /•fec/
City / Tel. No.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THISAPPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS AT I ECTOR'S N RE
LATING,AIR CONDITIONING. ROUGH IS6 ('
ICH
HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL ( i?
CODE OF THE STATE ALIFORNIA. JACK R. ALLEN,SUPERVISI CK. CHANICAI ENG'R.
SIGNATURE
OF PERMITTEE- PERMIT VALIDATIO M.O. CASH
PLAN CHEqWVALIDATION
( �1(' 36331; FEB 9 Al D 7.00-
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE oo
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