HomeMy Public PortalAbout5017 SULTANA AVE_Mechanical__ 7SA304-(;Ee1e-5 BB APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONJ
, COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �O
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS, SUPIERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS
EST
(Print or type only)
OWN
No TYPEJOF APPLIANCE OR EQUIPMENT FEE
IL
ADORES
ABSORPTION SYSTEM BTU CITU TEL NO
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER HORSEPOWER ADDRESScqab
COMPRESSOR HORSEPOWER CITY TEL NO
STATE LIC
VENTILATION SYSTEM LICENSE NO CLASS
DISTRICTNO GROU ZONE PRO 551 BY
EVAPORATIVE COOLER RR �/ / C,C/
FURNACE FAU_GRAVITY V Q
FLOOR—BTU [NAnCTION REQORD
HEATERRL LUSG��B W—UNIT_ �` /6 Q
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a 6SzU40
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NEW_ADDITION PERMIT $ 3 00
ALTER—REPAIR TOTAL FEE 5 QQ
Plan check applicant
Name
Address
c1tv lel No
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WIT ALL ORDINANCES AND LAWS REGULATING HEATING VENTI APPROVALS 0 E INBTORS SIOIYTURE
LATINO AIR CONDITIONING
ROUGH
1 Hf RIpY CERTIFY THAT 1 AM NOT ACi1H0 IM VIOLATION
OF CHAPTER S DIVISION 3 OF THE BUSINE AMD PRO SSIONAL FINAL
CODE OF THE STATE OIP1`/L�yI,.IVOR • JACK R ALLEN,SUPER VISI NANICAL ENG'R
OF PERMSIGNATUITTEE— , • PERMIT VALIDA770N I CN M O CASH
PLAN CHECK VALIDATION I
1pr 2 0o 3 9SO29 4 1 u 7.00- V
BEE BACK OF APPLICATION FOR COMPLETE FEC SCXCOV LE