HomeMy Public PortalAbout4841 GLICKMAN AVE_Mechanical__ d
76 A364- CE 8 18- 6- AP
73 PLIC=1FOR PERI
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS 4841 North Glickman
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY Temple City
NEAREST y
CROSS
FOR APPLICANT TO FILL IN OWNER Edward Winberg
(PRINT OR TYPE ONLY)
MAIL 122 White Oak Drive
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS
CITY Arcadia TEL. No.355-6662
ABSORPTION UNIT, BTU
CONTRACTOR Bryant Heat. & Air Cond. Inc
AIR HANDLING UNIT, CFM
ADDRESS 1350 E. Las Tunas Drive
BOILER, BTU CITY San Gabriel TEL. NO. 286-1141
COMPRESSOR, BTU STATE 221751 CLASS Ci20
LICENSE NO.
VENTILATION SYSTEM ,D•ISTTRRICT NO. GROUP ?ZONE PROC SED BY
EVAPORATIVE COOLER �`1 f �'
FURNACE: FAUX G�2QV(Ty0 5 00 INSPECTION RECORD
1 FLOOR BTU • 111
HEATER: SUSPENDED UNIT_
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Plan check fee 25% of above. See reverse.
PERMIT ISSUING PEE S 3 00
TOTAL PEE 8 O
PLAN CHECK APPLICANT
NAME
ADDRESS
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 ORDINANC D LAWS LATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CO.",
ON, 0_ G
!J ROUGH
I HEREBY .j=R-TIF f HA OT ACTING IN VIOLATION
OF CHAPTER 9, IVIS SINESS AND PROF SSIONAL FINAL "r /
CODE OF THE S TE CALI O 1
SIGNATURE/'" PERMIT VALIDATION CK. M.D. CASH
OF PERMI/TTE
PLAN GH CK VALIDA ON CK. M.O. CASH
0 6 8 ci�-j MAR 5 4 1. 0 8.0 0 b-o
LSEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE