HomeMy Public PortalAbout4831 BALDWIN AVE_Mechanical__ 78A364E ICE BIBA) 9/77 '
APPLICATION FOR PERMIT
HEATING - ENTILATING - AI CONDITIONING
COU Y F LOS ANGELES
DEPARTM OF COUNTY E EER
BUILDING AND SAFETY DIV ION
FOR APPLICANT TO FILL IN + BUILDING
(PRINT OR TYPE ONLY) ADDRESS 4831 N BALDWIN
LOCALITY TW-
,LE CITY
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST
ABSORPTION UNIT BTU
OWNER GRIFFIN, EARL
AIR HANDLING UNIT CFM MAIL
ADDRESS SAME
BOILER BTU CITY TEMPLE CITY TEL NO 448-4057
1 COMPRESSOR BTU 3 HP LO OO CONTRACTOR XMM TRANE HCC
VENTILATION SYSTEM ADDRESS 2034 N PECK RD
EVAPORATIVE COOLER CITY SO EL MONTE TEL NO 579-7982
FURNACE FAU X GRAVITY STATE 265094 LIC C-20 <
1 FLOOR BTU LO OO OOO_ LICENSE NO CLASS
HEATER SUSPENDED UNIT- s DISTRICT NO GROUP ZONE PR SSED BY
WALL � O� Zu,(
I
INSPECTION RECORD
O
u
cc
O
Plan check fee 25% of above ~
PERMIT ISSUING FEE$ 7 00
TOTAL FEE 27 00
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING VENTILATING AIR
CONDITIONING
I HEREBYCERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTT SSIGNAT RE
CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL CODE ROUGH
OF THE STATE OF CALIFORNIA
SIGNATUREyj
x FINAL
OF PERMITTE
PLAN CHECK VALIDATION CK Mo CASH PERMIT VALIDATION CK Mo CASH
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0 4 61rul-MAR 13 4+` I'D 2 `l
POLICY HOLDER �� /�� -
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POLICY NUMBER d//J- 66
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