HomeMy Public PortalAbout9412 OLIVE ST_Mechanical__ r
y
7QA3&4C
CE-8I S(REV.6/78)
os APPLICATION FOR PER T
HEATING - VENTILATING - AIR CONDITIONING, .
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS 9FLinville
(PRINT OR TYPE ONLY)
LOCALITY Temple City
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST.
ABSORPTION UNIT,BTU
OWNER AIR HANDLING UNIT,CFM MAIL;ADDRESS 94BOILER,BTU CITY Te .Nc286-3296
COMPRESSOR.BTU 2-1/2 ton 10 00
CONTRACTOR B nt Heat.. & Air Cond
VENTILATION SYSTEM ADDRESS 1350 E. Las Tunas Drive
EVAPORATIVE COOLER CITY San Gabriel 7 TEL.No
86-1141
1 FLOORFURNACE: FAU 'BTU Gh114Y1'Xqp_ 10100 LICENSE NO.STATE 221751 CLASS C20
HEATER: SUSPENDED OO UU IIUJJNNIVVT- APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
ROUGH
FINAL
INSPECTION RECORD
r' 99
Plan check fee 25% of above.
PERMIT ISSUING FEE$ -- �
TOTAL.FEE 27 00•
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS
CITY _ TEL.NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND ��8 0 9,L A
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES. AND LAWS REGULATING HEATING, VENTILATING, AIR
CONDITIONING. r PERMIT VALIDATION #.o 0 0 o 41
I HEREBY CE41 THAT I AM NOT AC VIOLATION OF
CHAPTER 9, DIVIS ' OF THE BUSINESS ESSIONAL CO 2 ° 927.00
OF THE STATE C" RNIA. ,,��qq"r n
SIGNATURE !,1 r; 1 1�, 0 0 0 2�i,
OFPERg11TTE
DISTR GT NO. PROCESSED BY 12 0 4=7 9