Loading...
HomeMy Public PortalAbout9161 JAYLEE DR_HVAC_5/19/1978_furnace 76 AQPLI ATI V FOR PERMIT HEATING AIR MOTIONING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR'APPLICANT TO FILL IN BUILDING (PRINT OR TYPE ONLY) ADDRESS LOCALITY NO. TYPE OF AP.PLIANCE,OREQUIPMENT FEE: NEAREST - . CROSSST. Xolml ABSORPTION UNIT.,STU • OWNER' vj�'jz) ��/✓ AIR HANDLING UNIT,CFM _ MAIL _ ADDRESS' /4- BOILER,BTU CITY: TEL.NO: COMPRESSOR,BTU CONTRACTOR ' , VENTILATION SYSTEM ADDRESS EVAPORATIVE COOLER - - CITY - `TEL.NO. FURNACE: FAU GRTj,- ��. STATE - LIC. FLOOR BTU f�jj'' LICENSE NO.' CLASS. HEATER: SUSPENDED UNIT- DISTRICTNO: -/GROUP �ZONE PROCESSED.BY WALL .� /.�+ 6�,.' _ •. . Z5. 10,457 INSPECTION RECORD V Plan check fee 25% of above. Lu . PERMIT ISSUING FEE$ Z TOTAL FEE. o , PLAN CHECK APPLICANT NAME - ADDRESS CITY TEL.NO. THEREBY 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, VENTILATING, AIR - CONDITIONING. I HEREBY CERTIFY THAT"I. AM NOT ACTING IN VIOLATION OF, .APPROVALS DATE INSPECTOR'S SIGNATURE CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE of OF.THE STATE OF CALIFORNIA. ROUGH ••M0+��". SIGNATURE I FINAL - •®C o O F P E RITTEF / �'�"•A :PLAN CHECK VALIDATION ck. m.o. cnsH PERMIT VALIDATION - cK. 'M.O. CASH K.. 5'2 3.to,11�%Y, 19 4 : U- .7.0 G ©5