HomeMy Public PortalAbout5940, 5942, 5944 TEMPLE CITY BLVD_Mechanical__ '
7G'A364 - CE 818 - 9-71 ' AG
TION .FOR RMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING C�
DEPARTMENT OF COUNTY ENGINEER ADDRESS �/
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS
CIT TEL. NO. 6 cZ
ABSORPTION UNIT, BTU
CONTRAC
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU CITY a TEL. NO.
COMPRESSOR, BTU STATE LIC.
LICENSE NO. '� CLASS �i �
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE ESSED BY
EVAPORATIVE COOL R 6 Z �_ Z a
FURNACE: FAUiff_GRAVITY C7
FLOOR BTU INSPECTION RECORD v
HEATER: SUSPENDED UNIT_ 0
WALL w
a
Z
9
Plan check fee 25 c of above. See reverse.
PERMIT ISSUING FEF. 8 3 00
TOTAL. FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
1 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, VENTI- APPROVALS DATE INSPEMOR'S SIGNATURE
LATING.AIR CONDITIONING. - /(G ,
ROUGH
I HEREBY CERTIFY T I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISIO 3, OF THE BUSINESS AND PROFESSIONAL - FINAL
CODE OF THE 57ATE0 CA FORNIA.
SIGNATURE PERMIT VALIDATION C M.O. CASH
OF PERMITTEE �A �
PLAN CHECK VALIDATION' CK. M.O. CASH'
7 6 0 APR 30 41 U 1 3.0 0 ��