HomeMy Public PortalAbout5559 RYLAND AVE_Mechanical__ 78A76QE-CEL'+ e8-973 APPL,ICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISIONAf
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS 5559 Ryland
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE LOCALITY T=ple Ci W, California
NEAREST
CROSS ST.
ABSORPTION UNIT, BTU.
OWNER , D. Pain
AIR HANDLING UNIT, CFM MAIL
ADDRESS 5559 Ryhnd
BOILER, BTU CITY' Temple City TEL. NO. 442-2268
1 COMPRESSOR, BTU 3 ton 7 50
CONTRACTOR Bryant Heat. & Air Cond.
VENTILATION SYSTEM ADDRESS 1350 E. Las Tunas Dr
Y
EVAPORATIVE COOLER CITY San Gabriel TEL. NO. 286-1141
FURNACE: FAU_GRAVITY STATE 2217551 LIC. C20
FLOOR BTU LICENSE NO. CLASS
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HEATER: SUSPENDED UNIT_ DISTRICT No. GROUP ZONE Ro ss Eo BY �-
WALL
6,
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INSPECTION RECORD
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Plan check fee 25% of above.
PERMIT ISSUING FEE $
TOTAL FEE 12 00
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO. / (t ,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION L
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI-
LATING, AIR CONDITIONING.
I HEREBY CERT FY THAT I AM NOT ACT IN VIOLATION APPROVALS La DA EI I P CTOR'S SIGNATURE
OF CHAPTER 91 DIVFSION13, OF THE BUSINESS PROFESSION ROUGH
CODE OF THE STAT 0 ALIFORNIA. ,
SIGNATURE
OF PERMIT TE / FINALMIIIII VI
PERMIT.VALIDATION CK. M.O. CASH.
PLAN CHECK VALIDATION `• M.O. CASH -
52 2---JUL 1.2 41 D 1 2.0 0 �::