HomeMy Public PortalAbout8608 WORTHINGTON DR - Mechanical - 1970-10-13 'sA3ea—CEO le—Ino APPLICATION FOR PERMIT
HEATING - VENTILATING -* AIR CONDITIONING
COUNTY OF L.OS ANGELES ADDRESS ,O 91oR/a 7y /0
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY ti C
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
.077
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) e 6
MAIL r �
NO: TYPE OF APPLIANCE-OR EQUIPMENT FEE ADDRESS s& A/ /Q
CITY O a ��� TEL: N
ABSORPTION SYSTEM, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER CITY TEL. NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. CLASS. OROUP ZONE ESSED BY
EVAPORATIVE COOLER
FURNACE: FAU_K_GRAVITY INSPECTION RECORD
FLOOR BTU /dN 06.0
HEATER: SUSPENDED—UNIT—
WALL
USPENDED UNIT_WALL
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C
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NEW—ADDITION— PERMIT $ 3' 00
ALTER—REPAIR— TOTAL FEE $
PLAN CHECK APPLICANT ,
NAME
ADDRESS
CITY TEL.NO.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
L
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
R CONDITIONING. ROUGH
EBY CERTIFYTHAT 1 AM NOT ACTING IN VIOLATION
ER 9, DIVISION 3, OF THE BUSINESkAND PROFESSIONAL FINALHE STATE C LIFORNIA. �.RE JACK R. ALLEN,SUPERVISING MECHANICAL ENG-R.
ITTEE
PERMIT VALIDATION CK. M.O. AS
PLAN CHECK VALIDATION
A �'7 3: 5...0 R OCT 13 4 1 A 7.0m.0 v
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE