HomeMy Public PortalAbout5725 OAK AVE_HVAC_5/23/1972_7DA364_CESIS_8-68 APPLICATION FOR PERMIT� v�% -
", •F HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �)
BUILDING AND SAFETY DIVISION Y�%�.���
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS I �'T—L-i_
COLEMAN W. JEN KI NS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEARESTCROSS
(Print or type only) - -
TOWNER //775ry�1
No. TYPEiOF APPLIANCE OR EQUIPMENT FEE (AAIL
DDRESS L��7 / J / �/yi7�
ABSORPTION SYSTEM, BTU (CITY Ta TEL. No. �66
AIR HANDLING UNIT, CFM I CONTRACTOR�J7� 50w
BOILER, HORSEPOWER (ADDRESS qm
COMPRESSOR, HORSEPOWER CITY ✓��"STAr�E^�'j�J TEL.NO.fLICENSE NO /PS CLAS SG 3 { _jZ_
VENTILATION SYSTEM W
DISTRIC O. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY .J r ✓ ►�}j/ "L L8✓L
FLOOR_BTII - NSPECTIO RECORD
HEATER: SUSPEE5D—UNIT
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NEW—ADDITION PERMIT S 3 00
ALTER—REPAIR TOTAL FEE S b0d
Plan check applicant
Name
Address
City Tel. No.
I HEREBY ACKNOWLEOG AT I HAVE READ THIS APPLICATION
AND STATE THAT THE AB E CORRECT AND AGREE TD COMPLY ( �t
WITH ALL ORDINANCES 0 L WS REGULATING HEATING, VENTI- APPROVALS ATE 14PECTOR'S IG ATURE
LATING, AIR CONDITIONIN ROUGH/''-_ /T
1 i
I HEREBY CERTIFY TNA E NOT ACTIN IN VIO TI 7
OF CHAPTER 9, OIVISIO 9, F THE BUSINESS A PRO FE ID L FINAL / �
CODE OF THE STAT FORNIA. i JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R
SIGNATURE PERMIT VALIDATION CK. M.O. CASH
OF PERMIT
PLAN CHEtkIALIDAUON
LL I LID 6?r�,.N FAY 2341 D 1 3.0 0
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
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