HomeMy Public PortalAbout6043 ROSEMEAD BLVD_Mechanical__ 6AS542CE818-1-6e APPLICATION FOR PERMIT
- HEATING -VENTILATING - AIR��CONDITIONING
COUNTY OF.LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS O
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGLOCALITY �,� p� 1-:ST
-: GJT
FOR APPLICANT T.0 FILL IN CROSS ST. d,R A $,4;-r_-,
(Print or type only) ,
OWNER /` /l/
No.. TYPE,OF APPLIANCE O.R EQUIPMENT FEE
MAIL
. ADDRESS •f0 O 3 3 � D S EhJ�b
ABSORPTION SYSTEM, BTU CITY TEL. NO."
M P� ` C,T �2Ufz/933
AIR HANDLING UNIT, CFM CONTRACTOR AS. �A� �-+2, f/�?jt CD
BOILER, HORSEPOWER ADDRESSZZ G v d.DI p-
COM_ PRESSOR, HORSEPOWER _ CITY S9 �H/`} TEL. NO. "
STATE LI C.
VENTILATION SYSTEM LICENSE NO. J $ 2.33 CLASS
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER �� � '� n C '
FURNACE: FAU�GRAVI.TY • r0 –
FLOOR—BTUv
INSPECTION RECORD
HEATER: SUSPENDED ,UNIT
WALL
' W
O-
C07
NEW—ADDITION PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $ 1 too
- .
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
HEATING, VENTILATING, AIR CONDITIONING.
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION + '
OF CHAPTER 9, DIVISIO , OF THE BUSINES AND PROFESSIONAL
CODE OF THE STATE OF 9L 0 NIA. AP PROVAiS DATE INSP CTOR'S SIGNATURE
SIGNATURE ROUGH 11A
OF PERMITTEE
FINAL c
T;AIt1-1 'JACK ALLEN
CK.K. MM.O.. CAS / SUPERVISING M MECHANICAL ENG'R.
U&.6.$:.6-6�,XT15 4 1 9 5_rt� . . .
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE _