HomeMy Public PortalAbout6284 SULTANA AVE_Mechanical__ 76A364-CE818-1/70 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FNEAREST
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DEPARTMENT OF COUNTY ENGINEER
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BUILDING AND SAFETY DIVISION Y ! "w.r✓� j�'f"'• !f/
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGT. f1 ✓i% *' r,
FOR APPLICANT TO FILL IN OWNER 1"-g-
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(PRINT OR TYPE ONLY) �"` ..
MAI L y
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS
CITY TEL. NO.
ABSORPTION SYSTEM, BTU /�
CONTRACTOR 'I'J f�f % c
AIR HANDLING UNIT, CFM qq 6
ADDRESS �/ .: / �)�fi'.a'�`��/✓/ /� (..
BOILER, HORSEPOWER ,�✓ -� CITY TEL. NO,
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. j �,, CLASS „i '
VENTILATION SYSTEM
77
ISTRICT NO. 1 CLASS GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY INSPECTION RECORD
FLOOR BTU
HEATER: SUSPENDED UNIT_
WALL
n
C
L
La
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NEW -ADDITION- PERMIT $ 3 00 n
Lt
F
ALTER—REPAIR— TOTAL FEE S
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
1 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.
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE VATE OF CALIFORNIA. -4."
SIGNAT UR .. � +�' ' JACK R. ALLEN,SUPERVISING MECHANICAL ENG'R.
OF PERM
0.
PERMIT VALIDATION CK. M.O. CASH
PLAN CHE K VALIDATION
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE