HomeMy Public PortalAbout10672 SPARKLETT ST_Mechanical__ 6A361 CES1i - 3+69 r
ZPLI ATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FAODR
DING / / �(
DEPARTMENT OF COUNTY ENGINEER ESS IO6 2l'f
BUILDING AND SAFETY DIVISION r—
JOHN A LAMBIE COUNTY ENGINEER LITY
'-OLEMAN W JENKINS SUPERINTENDENT OF BUILDINGEST
5 ST
FOR APPLICANT TO FILL IN R z N k 1fi'
(PRINT OR TYPE ONLY) MAIL
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NO TYPE OF APPLIANCE OR EQUIPMENT FEE ESS
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ABSORPTION SYSTEM BTU CITY `T . Z A , TELT NO ok334D
CONTRACTOR N f_&X_
AIR HANDLING UNIT CFM
BOILER HORSEPOWER ADDRESS
CITY TEL NO
COMPRESSOR HORSEPOWER STATE LIC
LICENSE NO CL
VENTILATION SYSTEM DISTRICT NO GROUP Z/O/SIE PpOCE SEo BY
EVAPORATIVE COOLER K
FURNACE FAU GRAVITY_ INSPECTION RECORD
FLOOR BTU
HEATER SUSPENDED_UNIT_
WALL r
O
- G
w
a
NEW—ADDITION— PERMIT S 3 00 I z
ALTER_REPAIR_ TOTAL FEE 5
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-
LATING AIR CONDITIONING APPROVALS DATE I ECTOR I SIGNATURE
54 IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9 DIVISION 3 OF THE BUSINESS AND POFESSIONAL FINAL
CODE OFT ST TE CALIF RNI
SIGNATURE JACK R ALLEN, SUPERVISING MECHANICAL ENG'R
OF PERMITTEE .,
PERMIT VALIDATION CK M 0 CASH
PLAN CHECK VALIDATION ..
LACO 2 3 7 6 SEP 14 4 1 D 5.00- v
'EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE