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HomeMy Public PortalAbout6012 ROWLAND AVE_Mechanical__ 7GA364C CE-818(REV.6/78) , es APPLICATION FOR PERMIT HEATING - VENTILATING- AIR CONDITIONING rpt. COUNTY OF LOS.ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL.IN BUILDING (PRINT OR TYPE ONLY) ADDRESS LOCALITY .Temle NO. TYPE OF APPLIANCE OR'EQUIPMENT FEE -NEAREST CROSS sT. Las." Tunas ABSORPTION UNIT,BTU ` OWNER Paul W6jdak p AIR HANDLING UNIT,CFM MAIL 6012 N. O.W1'and ADDRESS BOILER,BTU CITY Temple City' TEL.NO.286^471 1 COMPRESSOR,BTU ' QOM lO OOt ' CONTRACTOR K mor ,,-En ineerin VENTILATION SYSTEM ADDRESS 60 N. Sari-GabrielABlvd. EVAPORATIVE COOLER CITY Pasadena TEL.N0.795-7552 FURNACE.: FAU_j_GRAVITY STATE LIC. 1 FLOOR BTU ZOOM 10 OO LICENSE NO. . 165064 • CLASS C-2O . HEATER: SUSPENT DED UNIAPPROVALS DATE INSPECTOR'S SIGNATURE WALL " IFOUGH'INAL. . INSPECTION.RECORD ' /c�• �' Flari check fee 25%of above. „ PERMIT ISSUING FEE$ 7 00 z TOTAL FEE 9.7 PLAN CHECK APPLICANT PLAN CHECK VALIDATION NAME ADDRESS CITY TE L..N O. 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, VENTILATING, AIR CONDITIONING. . 'PERMIT VALIDATION 24.2 1'O A. I HEREB l Y THAT AM NOT ACTING JN.VIOLATION OF CHAPTER 9, IV I N OF E BUS AND PROFSSIONAL CODE # o o o o4 1 .OF THE STA CA'I I �]�7 SIGNATURE 2 o o 2 7 O O OFPERMITT r]�7 DISTRICT NO. PROCESSED B 2 I,0 0 01