HomeMy Public PortalAbout5505 ENCINITA AVE_Mechanical__ 76A364r,#
CE 818(REV,6/78)
os r APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
1
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
(PRINT OR TYPE ONLY)
LOCALITY Temple_City
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST n
CROSS ST
ABSORPTION UNIT BTU
OWNER Grnce Reilly
AIR HANDLING UNIT CFM MAIL
ADDRESS
BOILER BTU CITY Temple City TEL N286-1677
COMPRESSOR BTU CONTRACTOR 1
Universal Plumbing,
VENTILATION SYSTEM
ADDRESS
EVAPORATIVE COOLER ''CITY So, El Monte TEL N0575-3460
FURNACE FAU GRAVITY STATE LIC
FLOOR BTU LICENSE 8 CLASS
HEATER ' SUSPEN ED U IT_ APPROVALS DA INS ECTO SIGNATURE
WALL D
ROUGH
FINAL
INSPECTION RECORD V
O
Plan check fee 25% of above 4
PERMIT ISSUING FEE$ _z
TOTAL FEE
PLAN CHECK APPLICANT PLAN CHECK VALIDATION ,
NAME trLF-ALG,C O�✓I
ADDRESS W f/ / 51
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 PERMIT VALIDATION ��(o
IHEREBY CERTIFY I AM XOT ACTING IN VIOLATION OF �% ^
CHAPTER 9 DIVISION 3 THE BU SS AND PROFESSIONAL CODE _
OF THE STATE OF CALIF NIA
SIGNATURE r �✓v
OF PERMITTE , l
DISTRICT NO ^// PROCESSED BY