HomeMy Public PortalAbout5329TEMPLE CITY BLVD_Mechanical 76 A3Tf.PR CE 618 .1/73
APPLICATION FO PERMI
HEATING VENTILATING AIR CON 11101
1 COUNTY OF LOS ANGELES B
UILDING
LdA
DEPARTMENT OF COUNTY ENGINEERSS
BUILDING AND SAFETY DIVISION DDRE
ITY
ST
57
,FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY)
NO TYPE a SIZE OF EQUIPMENT FEESS
SEE BACK OF APPLICATION
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FORCE AIR FURNACE BTU96--4.."o
CONTRACTOR
COMPRESSOR BTU O
ADDRESS Q
VENTILATION FAN
CITY TEL NO
LIST ALL OTHERS BELOW STATE LIC
LICENSE NO CLASS
C
I T NO 6POVP ZONE •XO C!!ED SY
INSPECTION RECORD
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Flan check fee See reverse
PI 10111 FII S
0.1 \1 I 1 11
PLAN CHECK APPLICANT SV
NAME
ADDRESS
CITY TEL NO Ll/
I HEREBY ACXNOWLED OE THAT 1 HAVE READ THIS APPLICATION
,ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGVLATINO HEATING VENII- APPROVALS DVA
IMIPEC 011 ! RE
LATINO AIR CONDITION I NO
ROUGH
INE REBY CERTIIY THAT I NOT AC IMO IN VIOLATION
OF CXAPTER 901 Y1510N 3 T VSIXE! AMO PPOI SIGNAL FINAL
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THE STATE OF C I
SIGNATURE PERMIT V IDATION CX- M 0 CASH
OF PERMITNIMM
TEE
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PLAN HECK VALIDATION CA M CASH
89Oi;� 2 41 0 1 950AJO
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