HomeMy Public PortalAbout5429 RYLAND AVE_Mechanical__ 76A364 - CE818 - 3-50 N APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 5'k 2-q (2-4
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 C.1—
(PRINT OR TYPE ONLY) SCO \\
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS $L\zq \^—A, pp
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CONTRACTOR
IR HAN G UNIT, CF
BOILER, HORSEPOWER ADDRESS `
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COMPRESSOR, HORSEPOWER CITY TEL. N0.
STATE LIC.
LICENSE NO. 7(00 A13 CLASS C.'2O
VENTILATION SYSTEM DISTRICT NO. GROUP VO SSED BYEVAPORATIVE COOLER "
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FLOOR BTU
HEATER: SUSPENDED UNIT �v ';;f { f ) `
WALL
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NEW—ADDITION— PERMIT $ 3 00
ALTER--REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY ;\l \ C-,4,,4TEL,NO.2$S-\2j-\l
1HEREBY 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-
LATING, AIR CONDITIONING. APPROVALS DATE INSPECTOR'Sy SIGNATURE
,
I HEREBY CERTIFY THAT I AM NOT ACTING fN VIOLATION OF ROUGH ' .--d �.s ►�`�r;'.xJ'-'
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONALFINAL
CODE OF THE STATE OF CALIFORNIA.
SIGNATURE �`\ tKJ� JACK R. ALLEN, SUPERVISING MECHANICAL ENG'
OF PERMITTEE `�'N `�"`
PERMIT VALIDATION. M.O. CAS Sod
PLAN CHECK VALIDATION
LAN 3 9 1 6 Wk R 2 4 1 D 1. 1.0 O N
BAC
.-K OF APPLICATION FOR COMPLETE FEE SCHEDULE