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APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FNEAREST
SS 8620 E. Worthington
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION TY San Gabriel
JOHN A. LAMBIE. COUNTY .ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGT. Burton
FOR APPLICANT TO FILL IN OWNER R. Anderson
(PRINT OR TYPE ONLY)
MAIL SameNO. TYPE OFAPPLIANCE•OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO. 2867906
CONTRACTOR Aquatic Pools Inc.
AIR HANDLING UNIT, CFM
ADDRESS 311 E. Liy6 Oak Ave.
1 BOILER, HORSEPOWER30080 D 7 50 CITYArcadia TEL. NO. 4"-4661
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. 263283 CLASS C53
VENTILATION SYSTEM DISTRICT NO. CLASS GRO P ZONE PR CESSED BY
ArR
EVAPORATIVE COOLER �(
19 I
FURNACE: FAU_GRAVITY INSPECTION RECORD 4i
FLOOR BTU
HEATER: SUSPENDED UNIT_
WALL
D
C
0
c
NEW_ADDITION— PERMIT $ 3 00
e_
ALTER—REPAIR— TOTAL FEE S C
PLAN CHECK APPLICANT LV0 J
NAME Aquatic Pools
ADDRESS 311 E. Live Oak, ����LL
CITY Arcadia TEL.NO.4"—W61
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 HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING,AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT I AM NOT G IN VIOLATION
OF CHAPTER 9, DIVIS 3 OF TH BUSINE S A D PROFESSIONAL FI
CODE OF THE STATE F F
SIGNATURE ALL ,SUPERVI$ HANICAL ENG'R.
OF PERMITTEE
ERMIT VALIDATION CK. M.0. CASH
PLAN CHECK VAL1DATl \
LACO 6'.5 15 Jm, 4 A i o,5.0�
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE