HomeMy Public PortalAbout5137 SULTANA AVE_Mechanical__ TBA3BA-CEO 1S -1170 APPLICATION FOR PERMIT
` HEATING - VENTILATING - AIR CONDITIONING u
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALIT
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS. SUPCRINTRlIDINT OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO YPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
GIT TEL NO
ABSORPTION SYSTEM BTU
CONTRACT
AIR HANDLING UNIT, CFM
ADDRES -
BOILER, HORSEPOWER CITY NO .�''
COMPRESSOR, HORSEPOWE STATE LIG �J
LICENSE NO �� �� CLASS Ci
VENTILATION SYSTEM DISTRICT NO CLAS! I GROUP
,{ZONE
NOPROCe if 0
EVAPORATIVE COOLER 3,6 x // _/
FURNACE FAU GRA TY INSPECTION RECORD
FLOOR BTU -�
HEATER SUSPENDED-UNIT-
WALL
USPENDED_UNIT WALL
i
0
U
C
IO-
U
W
6
NEW -ADDITION PERMIT $ 3 00 h
N ?
At-TER-REPAIR- TOTAL FEE $ /3
PLAN CHECK APPLICANT
NAME
ADDRESS
f.^
CITY TEL NJPERRMITVALIDATIOI
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ ION
ANO STATE THAT THE ABOVE IS CORRECT AND PLY
WITH ALL ORDINANCES AND LAWS REGULATINGTI- APPROVAL! D TE 1 CTM S SIGNATURE
LATIND AIR CONDITIONING
ROUGH
HEREBY CERTIFY THAT 1 AM NOT TION
OF CHAPTER G DIVISION 3 OR HE AND NAL FINAL
CODE OF THE STATE NIA
SIGNATURE JACK R. ALLEN,SUPERVISI CHANICAL ENG'R
OF PERMITTEE
PERMIT VALIDATION CK M 0 CASH
PLAN CHECK VALIDA ION
jo6971';S JL1441 D. 13,00, IR
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
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