HomeMy Public PortalAbout5008 TEMPLE CITY BLVD_Mechanical__ 70A
CN#018(REV anal 1
®. APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDVIG AND SAFETY
r FOR APPLICANT TO FILL IN BUILDING
. (PRINT OR TYPE ONLYI� ADDRESS 5008 Temple City Blvd•
NO TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY Temple City ` -
NEAREST
CROSS ST Q �✓
ABSORPTION UNIT BTU
OWNER parkxai
AIR HANDLING UNIT CFM MAIL
ADDRESS 5008 Tem le City Blvd
BOILER BTU
CITY Temple CityTEL N0286-1058
Onp - p
COMPRESSOR BTU CONTRACTOR ItnivArGin O-
L T- �
VENTILATION SYSTEM ADDRESS 2631 Lee Ave. ,
EVAPORATIVE COOLER CITY TEL NO
�o. El Monte
FURNACE FAU_GRAVITY STATE LIC
FLOOR BTU LICENSE NO CLASS
HEATER SUSPENDED—UNIT— APPROVAL DATE I*EkYN 5SIGNATURE
WALL
ROUGH
FINAL 7 Q
INSPECTION RECORD V
O
Plan check fee 25% of above i
PERMIT ISSUING FEE f �_
TOTAL FEE i
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME •-/ - __y ��„yu.,yJ�/
ADDRESS W /-� 7a -1 V9
3
CITY TEL NO C
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIJANDSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WORDINANCES AND LAWS REGULATING HEATING VENTILATINCONDITIONING PERMIT VALIDATION N R51 3 0 A
CHAPN OF
TERE9EBY OIV SEONI3 THE BU FY I AM NOS ANONPROFESS ONA G IN N a �'� 941
OF THE STATE OF CALIF IA n
SIGNATURE 2 • * 27. 00
OF PE gMfTT
DISiRICi NO pgOEE55ED B . . . 27 0 06
�S 062'5-79