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HomeMy Public PortalAbout6135 TEMPLE CITY BLVD_Mechanical__ 76A364E(G •876A1.9/77 APPLICATION VOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL INBUILDING (PRINT OR TYPE ONLY) ) ADDRESS LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST CROSS ST. �J j ABSORPTION UNIT,BTU OWNER AIR HANDLING UNIT,CFM MAIL e ADDRESS zz z�iiJ BOILER,BTU CITY TEL. ,a/ du* / , COMPRESSOR,BTU D �� CONTRALTO v VENTILATION SYSTEM ' ADDRESS EVAPORATIVE COOLER CITY TEL.NO. FURNACE: FAU_G Y STATE FLOOR BTU LICENSE NO CLASS Cr V HEATER: SUSPENDED UNIT- DISTRICT NO. GROUP ZONE PRO ESSEDBY WALL INSPECTION RECORD I ' Plan check fee 25%of above. Ile � PERMIT ISSUING FEE$• pQ �cJc r� � TOTAL FEE PLAN CHECK APPLICANT NAME ADDRESS CITY TEL NO. IHEREBY ACKNOWLEDGE THAT 1 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. I HEREBY'CERTIFY THAT 1 AM- NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE CHAPTER 9, DIVISION 3, OF HE BUSINESS AND PROFESSIONAL CODE .' OF THESTATE.OF ALIF A. ROUGH SIGNATURE , FINAL OF PERMITTE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION V M.O. CASH WORKERS COMPENS0 1 21VEHAR 10 4-1. © 2 7.0 0 m=s POLICYHOLDER: Wvl"-S 4 e— ®: POLICY NUMBER: Uj ,U 7'? 413 77