HomeMy Public PortalAbout6203 A & B TEMPLE CITY BLVD_Mechanical__ 76A364C
CE-818(REV.11/78)
®s APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
(PRINT OR TYPE ONLY)
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY CQ
NEAREST
CROSS ST.
ABSORPTION UNIT,BTU
OWNER G
AIR HANDLING UNIT,CFM MAIL
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ADDRESS
BOILER,BTU CITY TEL.NO.
COMPRESSOR BTU �� CONTRACTOR
VENTILATION SYSTEM ADDRES
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EVAPORATIVE COOLER CITY TEL.N Z2/.23
FURNACE: FAU G V Y STATE % C ASS C 2 L'
FLOOR BTU D LICENSE NO.
HEATER: SUSPENDED UNIT APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
ROUGH
FINAL O 0
INSPECTION RECOR py
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Plan check fee 25%of above. 96
PERMIT ISSUING FEE$
TOTAL FEE
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
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NAME vi ADDRESS
p 0.2 f&-q
CITY TEL.NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL 0 4 6 2 A
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR q
CONDITIONING. PERMIT VALIDATION 0 0 0 0 4 1
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
CHAPTER 9, DIVISION 3, OfJTHE BUSINESS AND PROE;ESSIONAL CODE Z'D 2 T O
OF THE STATE OF CALIF A.
SIGNATURE �, n r
OF PERMITTEE - 0 2 7 u 0 C
DISTRICT NO. PROCESSED BY ei 0522-00
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