HomeMy Public PortalAbout9186 JAYLEE DR_Mechanical_4/12/1971_furnace T6lP364-CEB,6-1/70- APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING tly
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST
CROSS ST. A'
FOR APPLICANT TO FILL IN OWNER '
(PRINT OR TYPE ONLY)
MAIL
.NO: TYPE OFA-PPLIANCEOA EQUIPMENT FEE ADDRESS 67/� p
CITY TEL. N__
ABSORPTION SYSTEM, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS O JA jo
BOILER, HORSEPOWER CITYS TEL. NO.
COMPRESSOR, HORSEPOWER STATELIC.
LICENSE NO. _T,5CLASS O
VENTILATION SYSTEM DISTRICT NO. CLASS GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER )/ '[57�r
FURNACE: .FAU X GRAVITY
FLOOR BTU Ov INSPECTION RECORD .
HEATER: .SUSPENDED UNIT_ ® sr
WALL
_ d
C
V
a.
O
. V
' W
- a
NEW-ADDITION PERMIT $ 3 00 Z
ALTER-REPAIR- :TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I 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 D TE .I CTOR'SS NATURE
LATING, AIR CONDITIONING. ,
CROUGH
CHAPTER
CERTIFY THAT I AM.NOT ACTING IN VIOLATION
OF HAPTER 9, DIVISION 3., OF THE BUSINESS AND PR FESSIONAL FINAL
CODE OF THE STATE OF CALLFORNIA. 1
SIGNATUREf JACK R. ALLEN,SUPERVISING MECHANICAL ENG'R,
OF PERMITTE
PERMIT VALIDATION CK. M.0. (� ASW
PLAN CHECK VALIDATION
9 6 5 6:� A��12 4 1 D 7.00
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE