HomeMy Public PortalAbout6053 SULTANA AVE_Mechanical__ 76 A964t CE 818- 6-73 pp IC TION FOR PERMIT
HEAT G - NTILATING - AIR COND IDNING -
COUNTY OF LOS ANGELES FEA
7Temple
6053"Sultana Ave
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION Cit-7
ST
ST. Garibaldi Ave,
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) R Ballard
MAIL
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS same
CITY TEL. NO-285-2475
ABSORPTION UNIT, BTU
CONTRACTOR Pacific Installers
AIR HANDLING UNIT, CFM
ADDRESS10920 E. Grand BOILER, BTU
CITY Temple City TEL. NO. 2- O 0
COMPRESSOR, BTU „ST� 06 STATE LIC.
LICENSE NO. 211898 CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP PRo ESSED BY
EVAPORATIVE COOLER �'6 ,�G —�
FURNACE: FAU_GRA I Y INSPECTION RECORD
FLOOR BTU —11
HEATER: SUSPENDED—UNIT—
WALL
USPENDED UNIT_WALL �.
a.
O
U
O
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Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE 8 3 00
TOTAL FEE A^
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, VENT'- APPROVALS DATE INS PECTOR'S)$�GNATURE�
LATI NG,AIR CONDITIONING. ,
I HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION ROUGH y .'• �� r
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF CA IFO A.
SIGNATURE /n PERMIT VALIDATION CK. M.O. CASH
OF PERMITTEE 1-11
1p b
PLAN CHECK VALIDATION CK. M.O. CASH
b 6-juL 15 4 1 D 8.�1 =�=
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