HomeMy Public PortalAbout10422 LIVE OAK AVE_Mechanical__ 76A364CICE-6IaBI:11/76 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDIN ND SAFETY DIVIS
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS 10422 E. Live Oak ✓�—
NO TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY ARCADIA
NEAREST Holly '
CROSS ST
ABSORPTION UNIT,BTU `
OWNER CLAUDEZE GRACE
AIR HANDLING UNIT,CFM MAIL -
ADDRESS 10422 E. LIVE OAK '
BOILER,BTU00 CD, - -CITY ARCA1.ACA T,-
EL NO 447-3486
COMPRESSOR,BTU CONTRACTOR Aquatic Poolt
VENTILATION SYSTEM ADDRESS 101' E. Huntington )Dr.
EVAPORATIVE COOLER CITY Arcadia TEL NO 446-4661
FURNACE FAU-GRAVITY STATE LIC
FLOOR 1 BTU LICENSE NO 31 620 CLASS C 3
HEATER SUSPENDED-UNIT- DISTRICT NO UP ONE - OCESSEDBY
WALL
v I ,
i
- INSPECTION RECORD - O
• V
09
Plan check fee 25% of aboveIL
~
PERMIT ISSUING FEE$
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; VENTILATING, AIR -
CONDITIONING-
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE
CHAPTER 9, DIVISION 3, OF THF fUSINESS AND PRO 10 L C DE
OF THE STATE OF ORNIA/�/ f.�C/ ROUGH
SIGNATURE FINAL
OF PERMITTE
PLAN CHEA VALIDATION CK MD CASH PERMIT VALIDATION cK MO CASH
5 9'7ri'--007 18 42 D_ 2 5.7 5
POLICY HC%nFR- ; � 111)