HomeMy Public PortalAbout10111 GREEN ST_Mechanical__ ! 7
,76A364C
CI*8181REV.6/781
Ps APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING L_
(PRINT OR TYPE ONLY) ADDRESS 10111 Green St.
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY Temple Cit
NEAREST Q /►
CROSS ST.
ABSORPTION UNIT,BTU
OWNER Palmiter
AIR HANDLING UNIT,CFM MAIL
ADDRESS same
BOILER,BTU CITY TEL.NO.
442-28
COMPRESSOR,BTU CONTRACTOR Universal Plumbing
VENTILATION SYSTEM ADDRESS $3 2631 Lee Ave.
EVAPORATIVE COOLER CITY So.-El Monte TEL.NO. 575--460
FURNACE: FAU GRAVITY STATE 316018 LIC. C%&20FLOOR BTU LICENSE NO. CLASS
HEATER: SUSPE DE UNITT ]PLAN
APPROVALS DATE INSPECTOR'S SIGNATURE
WALL ROUGHFINAL ZJ' (J -e 0
INSPECTION RECORD 67O
Plan check fee 25% of above. 9
PERMIT ISSUING FEE$ 2
TOTAL FEE
PLAN CHECK APPLICANT CHECK� VALIDATION
NAME 6v�7� .._
ADDRESS s�C/
CITY TEL.NO. / f�
I HER 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
I HEREBY CEZTHAM NOT ACTING IN VIOLATION OFCHAPTER 9. DIVISIUSINES ND PROFESSIONAL CODE
OF THE STATE OF CSIGNATUREOF PERMITTEE ) o --2
71
DISTRICT NO. PROCESSED BY