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HomeMy Public PortalAbout10108 LA ROSA DR_Mechanical__ 76p364G' CE-9161RE V.6/76) ©, APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDIN.C.AND SAFETY FOR APPLICANT TO FILL IN BUILDING 10108 La Rosa ADDRESS +� . (PRINT OR TYPE ONLY) NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY Temple City NEAREST CROSS ST. ✓'M ABSORPTION UNIT,BTU OWNER Hammer AIR HANDLING UNIT.CFM MAIL ADDRESS 10108 La Rosa BOILER,BTU CITY Temple City TEL.Nc443-9813 COMPRESSOR.BTU CONTRACTOR U J Universal Plumbing VENTILATION SYSTEM ADDRESS 2631 Lee Ave . /I� EVAPORATIVE COOLER CITY So . El MonteEL.NO.SI�/5-346 FURNACE: FAU_GRAVITY STATE 16018 LIC CLAS 68DC2O FLOOR BTU LICENSE NO. 111 HEATER: SU5PEN DED_UNIT_ ' M pppNOVALS DATE INSPECTOR'S SIGNATURE WALL C� ROUGH FINAL 197? 1, O INSPE ION RECORD u O Plan check fee 25% of above. PERMIT ISSUING FEE; [jQ Z_ TOTAL FEE PLAN CHECK APPLICANT PLAN CHECK V (DATION NAME C ADDRESS 7 w- -�`72,F-3 CITY TEL.NO. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND Q 41 3 5 A STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS R 6ULATING HEATING, VENTILATING, AIR N o * * /� 1 CONDITIONING. PERMIT VALIDATION f/ V HEREBY CERTIFY I AM NOT CTING IN VIOLATION OF 2 p 17,00 7,00 CHAPTER 9. DIVISION 3 O THE BUSIN 5 D PROFE 551041AL CODE OF THE STATE OF CAL( RNIA. SIGNATURE '� 4 6 1 7,0 0.5 OF PERMITTEE DISTRICT NO! �•� cc PROCESSED ) 0502f-79