HomeMy Public PortalAbout4843 HELEO AVE_Mechanical__ 7GA354—CE818-8-68 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONOITIONING
COUNTY OF LOS ANGELES v .
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING1.81.43 Hv
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JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
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COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Temple City
-FOR APPLICANT TO FILL IN CROSS ST.
(Print or type only) Lover Azusa Rd.
OWNER limo Homick
No.. TYPEJOF APPLIANCE OR EQUIPMENT FEE
MAIL San1e
ADDRESS
ABSORPTION SYSTEM, BTU CITY . Temple Cith TEL. NO. 286-3389
AIR HANDLING UNIT, CFM CONTRACTOR Lemke Air ConditioninrCo.
BOILER, HORSEPOWER ADDRESS 4937 Encinita ave.
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1 COMPRESSOR, HORSEPOWER 4 00 CITY Temple City TEL. NO. 287-1640
STATE LIC.
VENTILATION SYSTEM LCE SE NO. 195617 CLASS C-20
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER Ie-
FURNACE: FAU— _GRAVITY ��/
FLOOR—BTU Inn n 00 INSPECTION RECORD
HEATER:.SUSPENDED UNIT _
WALL >..
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R laciii -`i tinq heating QD
furnace with 1009000 BTUA-C mudet & add 3 tons eoo�L_ o
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NEW—ADDITION— PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $ 100
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 ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH r►'j')Il.,fl lJ" SRI
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION J IlyV ,
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL '�✓
CODE OF THE STATE 0 AL1O NIA
JACK R. ALLEN,SUPERVISI ECHANICAL ENG'R.
SIGNATUITTEE RE rte. PERMIT VALIDATION CK. M.O. CASH
OF PERM
PLAN CHECK VALIDATION
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'= 2 4 . :2 9- d 1. D
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE