HomeMy Public PortalAbout6022 PRIMROSE AVE_Mechanical__ as V
7SA364 - CE818 - 3-69 APPL O�FR MI
HEATING - VENTILATING - AIR CONDITION G
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 NEAREST11 r
CROSS ST. G�aBIZ�/—r
FOR APPLICANT TO FILL IN OWNER JE,�J GL /3
(PRINT OR TYPE ONLY) MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY 9:�r&f TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR ,v
ap-
ADDRESS
BOILER, HORSEPOWER
f
Y TEL. N0.
COMPRESSOR, HORSEPOWER 'L'
STATE LIC.
E NO. CLA
VENTILATION SYSTEM RICT NO. GROU ZON PR SSED BY
EVAPORATIVE COOLER OFURNACE: FAU GRAAVITY FLOOR BTUINSPECTION OR,
HEATER: SUSPENDEDUNIT p
WALL
0
c
L
a
C
F
L
LL
a
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NEW—ADDITION PERMIT $ 3 00
ALTER_REPAIR_ TOTAL FEE $ /a. 6)
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCESAND LAWS REGULATING HEATING,VENTI- APPROVALS DATE IN PELTOR'S SIGNATURE
LATING, AIR CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH IN .i
CHAPTER 9, DIVISION 3, OF BUSINESS NO PROFESSIONAL FINAL
CODE OF T F CAL ORNIA.
SIGNATURE JACK R. ALLEN, SUPERVISING ME AN CAL EN
OF PERMITTel
PERMIT VALIDATION CK. .0. CASH'
AN CHECK (DATION
9.5 7 2 ' �+ 1 4 l D 13.0
iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE