HomeMy Public PortalAbout5554 PAL MAL AVE_Mechanical__ -
®E�.I8IR.Y 'ne AP CATION FO ERMIIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APISLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLYI ADDRESS
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NO TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY
NEAREST
CROSS ST h4e- r3 jq
ABSORPTION UNIT BTU
OWNER e Z2&d e�]�-
FLOOR-BTU
AIR HANDLING UNIT CFM AMAIL
DDRESS r 1 BOILER BTU C C� TEL NOCOMPRESSOR BTU CONTRACTORVENTILATION SYSTEM ADDRESSls/ i wEVAPORATIVE COOLER CITY N TEL NOFURNACE FAU_GRAVITY STATE ,I♦� G LIC LICENSE NO TT 7.S CLAS
HEATER SUSPE UNIT APPROVALS DATE INWECTORSSIGNATURE
W AL
ROUGH t `
J FINAL
INSPE N RECORD V
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Plan check fee 25%of above
PERMIT ISSUING FEE$
TOTAL FEE
PLAN CHECK APPLICANT PLAN CHECK VAL ATION
NAME
ADDRESS /r
CRY TEL NO AE
I HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION AND ` 7 Q 9 `2' F
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING VENTILATING AIR T • R ° °
CONDITIONING PERMIT VALIDATION
I HEREBY CER THAT I AM NOT ACTING IN VIOLATION OF 2 ° ° 17 0C
CHAPTER 9 OIVISI B OF TMf 8USIN SS PROFESSIOVAL CODE
OF THE STATE OF IF MIA. o c 1 -
SIGNATURE
OF PERMITTEE `�
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DISTRICT NO�J)^
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APPLICATION FOR PERM(
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY( ADDRESS a Avenue
LOCALITY Temple City
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST `�
CROSS ST
ABSORPTION UNIT BTU
OWNER olive
and Mrs. C. Redeker
AIR HANDLING UNIT CFM MAIL
ADDRESS o Pal Mal Avenue
BOILER BTU CITY Temple City TEL NO 41+8-9393
COMPRESSOR BTU CONTRACTOR E. L. PAYNE CO.
VENTILATION SYSTEM
ADDRESS 166 W. Live Oak Ave.
EVAPORATIVE COOLER
�p CITY Arcadia TEL NO 446-611a
FURNACE FAU-X YVVO� STATE n LIC C nn
1 FLOOR BTU LICENSE NO 120228 CLASS C-LO
HEATER SUSPENDED UNIT y AOVALS DATE INSPECTOR 55WNATURE
W ALL
N` ROUGH
FINAL
INSPECTION RECORD Y
0
Plan check fee 25%of above
PERMIT ISSUING FEE; 7 1 00
TOTALFEE 17 1 0
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS ;P 7 4 a 8 A
CITY TEL NO M . . . • 4 1
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL 2 • • 1 7 0 0
ORDINANCES AND LAWS REGULATING HEATING VENTILATING AIR
CONDITIONING PERMIT VALIDATION • ' • 1 7 0 06
IHEREBY CERTIFY T I AM NOT ACT IN VIOLATION OF
CHAPTER 9 DIVISION 3 T BUSINESS A ROFESSIONAL CODE 1 030-79
OF THE STATE OF ALIF NI
SIGNATURE
OFPERM
DISTRICT(O DCE5 ED BY
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