HomeMy Public PortalAbout6355 SULTANA AVE_Mechanical__ 7A364 - CE818 - 3-69
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FS
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DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONJOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDINGp!+
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FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
r
r' ABSORPTION SYSTEM, BTU CITY TEL. NO
AIR HANDLING UNIT, CFM CONTRALTO
ADDR
BOILER, HORSEPOWER
CITY TEL. N0.
COMPRESSOR, HORSEPOWER
STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT No. GROUP ZONE 11ROCESSW BY
i EVAPORATIVE COOLER Sr C�
FURNACE: FAU GRAVITY
FLOOR BTU UO o 0-00INSPECTION RECORD
HEATER: SUSPENDED NIT
WALL so
D
U.C
0
C
U.
a
a
PERMIT $ 3 00 v
NEW DDITION_ 2
ALTER_REPAIR_ TOTAL FEE $ / sj /
C
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
p, WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING,AIR CONDITIONING.
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH - y
CHAPTER-9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF CALIFORNIA.
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG-R.
OF PERMITTEE, PERMIT
ERMITTEE-
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
L&o.9.1. 4 9 23 OCT 10 D 1 5.5 0-
°.EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE