HomeMy Public PortalAbout9465 WOODRUFF AVE_Mechanical__ i76A364-CE818-1/70 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS / ✓�
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPEOFAPPLIANCE,OR EQUIPMENT FEE ADDRESS
CITY TEL. NO.
ABSORPTION SYSTEM, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS �� .ee,
BOILER, HORSEPOWER CITY TEL. NO.
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COMPRESSOR, HORSEPOWER STATE (' LIC. /]��
LICENSE NO.pA,310-7� CLASS 6
IIIIIIIII
VENTILATION SYSTEM DISTRICT NO. CLASS I GROUP ZONE I PROCESSED BY
EVAPORATIVE COOLER 'O T
FURNACE: FAU_GRAVITY INSPECTION RECORD
FLOOR BTU
HEATER: SUSPENDED.-' _UNIT_
WALL G�
0
C
c
0
C
F
c
NEW—ADDITION— PERMIT $ 3 00
6
ALTER—REPAIR— TOTAL FEE $ rA
PLAN CHECK APPLICANT 6
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 DYE
IN ECTOp'S G TUBE
LATING,AIR CONDITIONING.
ROUGH `
1 HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AN ROFESSIONAL FINAL
CODE OF THE STATE OF LIFORNIA.
SIGNATURE: JACK R. ALLEN,SUPERVIS 1 CHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION CK. M.0. CASH
PLAN CHECK VAL DATION
,0 7 6 8 N: ,AUG 22 4 1 0 8.00-
SEE
0oNcoSEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE