HomeMy Public PortalAbout6323 SALTER AVE_Mechanical__ c
76A364 - CE818 - 3-69 APPLICATION FOR RMIT
HEATING - VENTILATING - AIR CONDITIO NG
COUNTY OF LOS ANGELES 7NEAREST
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DEPARTMENT OF COUNTY ENGINEER C.
BUILDING AND SAFETY DIVISION y-
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS &93213
ABSORPTION SYSTEM, BTU CITY � TEL. NO. (�fp
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS
CITY TEL. NO.
COMPRESSOR, HORSEPOWER STATE LIC.
i. LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP dk0NEej_._Pl)CESSED BY
EVAPORATIVE COOLERDg �
J FURNACE: FAU GRAVITY
/ FLOOR BTU Qz?D INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL
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NEW—ADDITION— PERMIT $ 3 00 L
ALTER--REPAIR TOTAL FEE S
a ,
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.
I HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL
CODE OF THE STATE OF FORNIA. FINAL
SIGNATURE JACK R.tAL9N, SUPER N MECHANICAL ENG'R.
OF PERMITTEE
PERMIT VAXTION cK. M.O. CASH
PLAN CHECK VALIDATIONG 4 5 r 3 kP.i4 D 1 0.50A
=E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE