HomeMy Public PortalAbout5005TEMPLE CITY BLVD_Mechanical TQ 64E ICE eleA) 111"6 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING Af
(PRINT OR TYPE ONLY) ADDRESS 5005 Temple City Blyd
LOCALITY
NO TYPE OF APPLIANCE OR EOUIPM ENT FEE
NEAREST T
CROSS ST Las Tunas Drive
ABSORPTION UNIT BTU
OWNER Mr. R E Langworthy
AIR HANDLING UNIT CFM MAIL y
ADDRESS SOOS Teml2l City Blvd,
BOILER BTU CITY Temple TEL NO 8 - D
COMPRESSOR BTU CONTRACTOR O O
E L PAYNE COMPANY
VENTILATION SYSTEM ADDRESS 166 W. Live Oak Ave.
EVAPORATIVE COOLER CITY Arcadia TEL NO "6-6118
FURNACE FAU-GR V Y STATE p LIG
1 FLOOR x BTU O LICENSE NO 120228 CLAss C-20
HEATER SUSPENDED-UNIT- DDIISTRICTNOO DROOP ONE PR ESSED Ur
WALL y✓. doe _T7 K��1)
INSPECTION RECORD 0
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Plan check fee 25% of above
PERMIT ISSUING FEE; 4 50
TOTALFEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLIC
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLLa
ORDINANCES AND LAWS REGULATING HEATING VENTILACONDITIONINGI HEREBY CERTIFY THAT I AM NOT ACTING IN VIOAPPROVALS Dir PECTOR S SIGNATURE
CHAPTER B DIVISION 3 OF THE BUSINESS A PROFESSIOH
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