HomeMy Public PortalAbout5620 ROSEMEAD BLVD_Mechanical__ 6A 364-CEBIB B_68 -` APPLICATION- FOR PERMIT -
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FBUILDING
BUILDING AND SAFETY DIVISION SS
JOHN A. LAMBIE, COUNTY ENGINEER
5620 N- Rosmead
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGITY
NEAREST Towle wty 91700
FOR APPLICANT TO FILL IN ST.
(Print or type only)
OWNER
No. TYPE OF APPLIANCE OR EQUIPMENT FEE
MAIL Clyde Casner
. ADDRESS
ABSORPTION SYSTEM, BTU CITY �g _ TEL. NO.
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AIR HANDLING UNIT, CFM CONTRACTOR E. L. PAVNF COMP
BOILER, HORSEPOWER ADDRESS
9242 Beverly Blvd-,
COMPRESSOR, HORSEPOWER CITY 909f6L. NO. 175-5,331 LIC.
VENTILATION SYSTEM LICENSE NO. CLASS
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER ,. '''' -
FURNACE: FAU GRAVITY
FLOOR_BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL
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NEW—ADDITION— PERMIT $ 3 00 LL
F-
ALTER—REPAIR TOTAL FEE $ 11 Cn
Plan check applicant
Name 1
Address
City Tel. No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THJVENTI-
ON
AND STATE THAT THE ABOVE IS CORRECT AND AGLY
WITH ALL ORDINANCES AND LAWS REGULATING HI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATINS, AIR CONDITIONING. ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTINGON FINAL
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS ANDALCODE OF THE STATE OF CALIFORNIA. JACK R. ALLEN,SUPERVISING.MECHANICAL ENG'R.
SIGNATURE OF PERMITTEE PERMIT VALIDATION' CK. .0. CASH
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PLAN CHECK VAY:IDATION
IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE J/