HomeMy Public PortalAbout6164 ROSEMEAD BLVD_Mechanical__ BA36,4-CESIB-8-88 APPLICATION FOR PERMIT
- HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF,BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSSST. �o✓vG(o S G' .ri-Ld
(Print or type only)
OWNER '4 L .- � `�
No.. TYPEJOF APPLIANCE OR EQUIPMENT FEEMAIL
ADDRESS G� x/ b .r•;/(/f�� ®
ABSORPTION SYSTEM, BTU CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR gg)R/
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BOILER, HORSEPOWER ADDRESS
COMPRESSOR, HORSEPOWER CITY TEL. NO.
STATE LIC.
VENTILATION SYSTEM LICENSEfNO. CLASS
DISTRICT NO. I GROUP ZONE ES YD BY
EVAPORATIVE COOLER CC��
FURNACE: FAU GRAVITY -
FLOOFt_BTU INSPECTION RECORD
HEATER%SUSPENDED UNIT
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NEW—ADDITION— PERMIT. $ 3 00
ALTER—REPAIR— TOTAL FEE $
Plan check applicant
Name i- L
Address
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g9d .� 7 Tel. No. 28S'-133BY ACKNOWLEDGE THA 1 HAVE READ THIS APPLICATIONE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTORS SIGNATURE
IR CONDITIONING. ROUGH
EBY CERTIFY THAT I AM NOT ACTING IN VIOLATIONFINAL
R 9, DIVISION S, OF THE BUSINESS AND PROFESSIONAL HE STATE OF CALIFORNIA. JACK R. ALLEN,SUPERVISING MECHANICAL ENG'R.
SIGNATURE
ITTEE �- -PERMIT VALIDATION- ctc. M.o. .
PLAN CHECK VALIDATION
x '„9 9 3 4+~ APR 27 4 1 D 7.00-
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EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE