HomeMy Public PortalAbout6267 SULTANA AVE_Mechanical__ 76A3$4'-`gmw- 3-59 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
UNTY OF LOS ANGELES BUILDING
DEPAROTMENT OF COUNTY ENGINEER A
DDRESS O r #/q A yr
BUILDING AND SAFETY DIVISION r• r
JOHN A. LAM BI E, COUNTY ENGINEER Y I' ��I
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING
T. A
FOR APPLICANT TO FILL IN -r e
(PRINT OR TYPE ONLY) OWNER
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY :' EL. NO
AIR HANDLINGS UNIT, CFM CONTRACTOR L
BOILER, HORSEPOWER ADDRESS
CITY TEL. NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM
DISTRICT GR �'�c t.- BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT r0
WALL >
' o
U.
n
NEW—ADDITION— PERMIT $ 3 00 L
ALTE EPAIR•5 TOTAL FEE $ O
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. NO.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
LANDSTATEE THAT THE.ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING,VENTI- pppR0VAL5DATE IN ECTOR'SS NATURE
IR CONDITIONING.BY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION OFROUGH9, DIVISION 3, OF THE BUSINESS AND PROFESSIONALFINALHE STATE OF CALI 0 NIA. DE JACK R. ALLEN, SUPERVISI G MECHANICAL ENG'R.
TTE 14 1 PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK/VALIDATION 1{/� +. n p
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE