HomeMy Public PortalAbout5602 ROSEMEAD BLVD_Mechanical__ -7593e4-Geese-In0 APPLICATION FOR PERMIT
A HEATING - VENTILATING - AIR CONDITIONING
' COUNTY OF LOS ANGELES ADDRDI
ESS N
DEPARTMENT OF COUNTY ENGINEER n
BUILDING AND SAFETY DIVISION LOCALITY �M N1,F
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS. SUPERINTENDENT OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN OWNS '
(PRINT OR TYPE ONLY) MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY L TEL NO f
ABSORPTION SYSTEM BTU
CONTRACTOR
AIR HANDLING UNIT, CFM =
ADDRESS
BOILER HORSEPOWER CITY TEL NO
COMPRESSOR, HORSEPOWER 0O STATE LIC
LICENSE NO CLASS
VENTILATION SYSTEM Fe9O
CLASS ROUP ZONE PROCESSED SY
EVAPORATIVE COOLER
FURNACE FAU GRAVITYINSPEC ION RECOR
FLOOR BTLTQI JV. 10 m SHEATER SUSPENDED—UNIT_WALLNEW_ADDITION- PERMIT $ 3ALTER_REPAIR_ TOTAL FEE $ '2
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 GyrE INSPECTOR S SIGNATURE
LATING AIR CONDITIONING
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTINS IN VIOLATION
OF CHAPTER 9 OI VISION OF THE BUSINESS ANO P OFES910NAL FINAL
COOS OF THE STATE 0 LIFORNI
SIGNATURE JACK R ALLEN,SUPER I I G HANICAL ENG•R
OF PERMITTEE
PERMIT VALIDATION K MID CASH
PLAN CHECK VALIDATION
LAr„7 4 6 2R NOV 4 4 1 D 1 2-00 a
SEE MCK 01 APPLICATION FOR COMPLETE IEC SCHEDULE `� `