HomeMy Public PortalAbout6111 TEMPLE CITY BLVD_Mechanical__ 5AS64_CESI 6_e.Ge • APPLICATION FOR PERMIT
HEATING -VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER fBUILDING
BUILDING AND SAFETY DIVISION DDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGOCALITFOR APPLICANT TO FILL IN ST
NEAREST
ROSS S.T. i
(Print or type only) Oft?%_ _
OWNER ?%
No. TYPEJOFAPPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS
ABSORPTION SYSTEM, BTU- , CITY TEL. NGf
AIR HANDLING UNIT, CFM CONTRACTOR' o
BOILER, HORSEPOWER ADDRESS 90
COMPRESSOR, HORSEPOWER CIT TEL. NOJfS Ag7
STATE ILI
VENTILATION SYSTEM LICENSE NO. CLASS
; DISTRICT N9. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER `� oQ/
FURNACE: FAU GRAVITY �
FLOOR—BTU j SPECTIO RECODD
HEATER:.SUS E DED UNIT /
WALL / Vu- >
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NEW-X—ADDITION PERMIT. S 3 00
ALTER—REPAIR— TOTAL FEE S
Plan check applicant
Name
Address -
Cit 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 ATE PECTOR'S SIGNATURE
EATING,AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT i AM NOT ACTING IN VIOLATION FINAL
OF CHAPTER 9, DIVISION 3, OF THE S ESS AND PROFESSIONAL
CODE OF THE STWrrTy CALIFORNIA
J � JACK R. ALLEN,SUPERVISING MECHANICAL ENG.R.
SIGNATURE
OF PERMITTEE.___ -PERMIT VALIDATION CK. M.O. . CASH
I
PLAN CHEC VALIDATION
IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE