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HomeMy Public PortalAbout5427 PERSIMMON AVE_Mechanical__ 8A864-6%B.8._a=$8 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING f; • . COUNTY OF LOS ANGELES DEPRTMENT.OF COUNTY ENGINEER :B.UAILDING AND SAFETY DIVISION BUILDING. JOHN A. LAMBIE. COUNTY ENGINEER ADDRESSy"GY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL.IN CROSS STr. r (Print or type only) OWNER NO.. TYPEJOFAPPLIANCE OR EQUIPMENT FEEMAIL ADDRESS o� �B�V ABSORPTION SYSTEM, BTU CITYe-fEL. NO. AIR HANDLING UNIT, CFM CONTRACTOR BOILER, HORSEPOWER ADDRESS COMPRESSOR, HORSEPOWER�� CITY STATE9 D > p �" " VENTILATION SYSTEM L CENSff NO. aC-SO�G a CLASS v a t DISTRICT NO. GRO ZONE PROCESSED BY EVA-POR`ATIVE COOLER 1 L © Q� FURNACE: FAU GRAVITY� �J FLOOR--BTU INSPECTION RECORD HEATER:.SUSPENDED UNIT WALL O v O Luv h — z NEW ADDITION— PERMIT. $• 3 00. 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 DATE INSPECTOR-S SIGNATURE ' LATING,AIR CONDITIONING. ROUGH .. ,,,��� �✓ ,�,�L. I HEREBY CERTI H 1 AM NOT AC NG IN VIOLATION FINAL V �4 L& OF CHAPTER 9, DIV ION 0 THE BUSINES AND PROFESSIONAL CODE OF THE STA OF L ORNIA JACK R. ALLEN,SUPERVISI ECHANICAL ENG'R. SIGNATURE •PERMIT VALIDATIO CK. M.O. CASH OF PERMITTE PLAN CHW VALIDATION Y"T. t hCG s.9 0 x•10 41 0 11.00.- EE 1.0ONEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ,v(p�