HomeMy Public PortalAbout9022 JAYLEE DR_HVAC_12/13/1979_external duct 76A364C
CE-818 (REV.11/78)
05 APPLICAT N FOR PERMIT
HEATING - VENTIL TING - AIR CON ZONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
(PRINT OR TYPE ONLY)
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST.
ABSORPTION UNIT,BTU
OWNER
AIR HANDLING UNIT,CFM MAIL
ADDRESS 0
BOILER,BTU
CITY Ch TEL.NO,
COMPRESSOR,BTU CONTRACTOR
? //"J"'p i7lf
VENTILATION SYSTEM ADDRESS �j X157 fir•
EVAPORATIVE COOLER CITY10 TEL.NO.9
�t'l moi''00/
FURNACE: FAU GRAVITY STATE ! '"� LIC.
FLOOR BTU LICENSE NO. G ♦ Y CLASS /
HEATER: SUSPENDED UNIT_ APPROVALS DATE INSPECT O SIGNATURE
WALL _
ROUGH
FINAL 0
INSPECTION RECORD
0
u
Plan check fee 25% of above. Q.
qA
PERMIT ISSUING FEE$ Z
TOTAL FEE
PLAN CHECK APPLICANT �L /y PLAN CHECK VALIDATION
`
NAME o s ,�,He
ADDRESS
CITY i! TEL.NO.a'V15� f i
IHEREBY ACKNOWLEDGE THAT IVE IS CORRECT HAVE READ THIS APPLICATION AND 0 8 2.2-6 ASTAT E THAT T
HE TH ALL
ORDINANCES AND BOLAWS REGULATING D HEATING,AGREE VENTILATING,NLY IGH AIR # o o o o 4 1
CONDITIONING. PERMIT VALIDATION rj 3.00 I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ,G o 0 1 JI O O
CHAPTER 9. DIVISION 3 OF TH USINESS AND PROFESSIONAL CODE
OF THE STATE OFCALI RNIA. 0 0 0 1 3.O O V
SIGNATURE ,� _
OF PERMITTEE ,1 2 1 3-7 9
DISTRICT NO PROCESSED
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