HomeMy Public PortalAbout10647 BOGUE ST_Mechanical__ 505'5027
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APPLI TION FOR RMIT
HEATING - VENTILATING - AIR CONDITIONING `�•
COUNTY OF LOS ANGELESBUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 10647 Bogue St.
BUILDING AND SAFETY DIVISION LOCALITY Temple City 91780
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER Miss Agnes L. Hill
• (PRINT OR TYPE ONLY) MAIL
N0. TYPE OF APPLIANCE OR EQUIPMENT FEE
ADDRESS 10647 Bo ue St.
CITY Temple City TEL. No. ."285-6353
ABSORPTION UNIT, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS 9636 S Santa Fe Springs Rd.
BOILER, BTU CITY SFS 90670 TEL- NO- 698-1251
1 COMPRESSOR, BTU5 00 STATE LIC.
LICENSE NO. 208816 CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE ZPCIESSED BY
EVAPORATIVE COOLER
FURNACE: FAU_X_GR vl `i' INSPECTION R CORD
l FLOOR - BTU 5 00
HEATER: SUSPENDED UNIT_ 1 -, o<e7�QAA.7�� �� �� ��1
WALL
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U
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Plan check fee 257. of above. See reverse. z'
PERMIT ISSUING FEF, $ 3 00 i 1
TOTAL FEE , f
PLAN CHECK APPLICANT IV
NAME /(
ADDRESS v n, N /� ,✓
CITY TEL.NO.
I HEREBY 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, VENTI- APPROVALS DATE INSPECIT04'S SIGNATURE
LATING, AIR CONDITIONING. ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION,3, OF THE BUS,INES AND PROFESSIONAL FINAL
CODE OF THE STATE CALI ORNIA. -
SIGNATURE f PERMIT VALIDATION CK. M.O. CASH
OF PERMITTEE��_r
PLAN CHECK VALIDATION CK' M.O. CASH
0 51'i3i�MNR 4 4 1 D. 1 3.0 J e��s
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