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HomeMy Public PortalAbout5125 PAL MAL AVE_Mechanical__ 76 A354- cE 616- 5-73 APPLIC ION FOR PERMIT HEATING - VENTILATING = AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING5125 N Pal al Ave . DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITYTemple City, NEAREST1 CROSS ST. FOR APPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) Robert MAIL Vernon ADDRESS 12 NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE AN Palmal -Ave448 • CITY Temple Cit TEL. NO. kak ABSORPTION UNIT, BTU CONTRACTOR Valley Heating Cohpany AIR HANDLING UNIT, CFM ADDRESS 0 E Valle Blvd BOILER, BTU CITY San. Gabriel TEL. NO. 288 6812 1 -COMPRESSOR, BTU 48- ooa LICENSE N0.147899 CLASS C 20 VENTILATION SYSTEM - .DISTRICT No. GROUP ONEWPROESSED BY EVAPORATIVE COOLER © � ( 1J 1 FLOOR BTFURNACE: FAU 3r GRAa/1�TY�_ INSPECTION R CORD U 1111 VV+- HEATER: SUSPENDED UNIT_ WALL a O v CD F•- W CL N Z Plan check_ fee 25% of above. See reverse. PERMIT ISSUING FEE 8 3 00 TOTAL FEE PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.NO. L BY ACKNOWLEDGE THAT 1 HAVE READ THIS TION E THAT THE ABOVE IS CORRECT AND.AGR TO CO PLY ORDINANCES AND LAWS REGULATING ATING, V NT'. APPROVALS - DATE INSPECTOR'S SIGNATURE IR CONDITIONING. ROUGH EBY CERTIFY TH I AM NOT CTING IN VIOLA NER 9, DIVISIO OF THE BUS SS ANp PROFESS FI ALTHE STATE 0 C IFORNIA. f 9w.�iURE "�, ERMIT VALIDATION c M.O. CASH MITTE PLAN CHECK/VALIDATION CK. M,O. CASH Nk_7'2) 4 5.11KARR 14 1 ,U 1 5.55 0 Ay8 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE - ,