HomeMy Public PortalAbout5008 SERENO DR_Mechanical__ 1,2
76A366 - CEBIB - 3-69 APPLICATION FOR PERMI
HEATING - VENTILATING - AIR CONDITIONING
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DEPARTMENT OF COUNTY ENANGELES ENGINEER FADDRESS D 0 S SERF-nl (.
BUILDING AND SAFETY DIVISION T
JOHN A LAMBIE COUNTY ENGINEER LITY?-e* A, CACOLEMAN W JENKINS,SUPERINTENDENT OF BUILDINGESST Ros .� PpdFOR APPLICANT TO FILL IN ER(PRINT OR TYPE ONLY)NO TYPE OF APPLIANCE OR EQUIPMENT FEE ESS QO p J y( � O p p
ABSORPTION SYSTEM BTU CITY TC /( ( A T TEL NO S-D 6 p 3
AIR HANDLING UNIT CFM CONTRACTOR
ADDRESS
BOILER HORSEPOWER
CITY TEL NO
COMPRESSOR HORSEPOWER STATE LIC
LICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER L D
FURNACE FAU GRAVITY_ �J I S ECTION RECORD
FLOOR BTU
HEATERUSPENDED UNIT
WALL -
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NEW_ADOITION_ PERMIT $ 3 00 Z
ALTER---REPAIR— TOTAL FEE $ /
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEA T ING,VENTI• APPROVALS DATE INSPECTOR'S SIGNATURE
LATING AIR CONDITIONING
HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIO AL FINAL
CODE OF THE STATE A IFORNIA
SIGNATURE JACK R ALLEN, SUPER VIS MECHANICAL ENG'R
OF PERMITTEE
PERMIT VALIDATION cK M o CASH
PLAN CHECK VALIDATION
T„a 9 a 3�— Wer 4 1 0 1 050
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^EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE , /,