HomeMy Public PortalAbout6304 TEMPLE CITY BLVD_Mechanical__ 76 A3Bs- CE BIS. 5.73
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS O M V 17.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST ' ^14GDEAr1v
CRO55 ST W
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) GEO E WIEGA►JD
MAIL 11 n A "0— &OC -
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 5 IJ ACU
ABSORPTION UNIT, BTU CITYS. SAM GABRIELTEL NO uu5-.2f03
CONTRACTOR q NES ETITG `,
AIR HANDLING UNIT, CFM
ADDRESS 91AL..OR66SA
BOILER BTU CITY -I IS(I TEL NO 339 - ` j
COMPRESSOR, BTU STATE N /Ci�C 1 LIC
LICENSE NO J J CLASS C- 1�0
VENTILATION SYSTEM DISTRICT NoanouP z-/OHNE SSED By
EVAPORATIVE COOLER 7 vD ? / ! B
FURNACE FAUT D GRA ITJ V�
FLOOR BTU INSPECTION RECORD
HEATER SUSPENDED—UNIT—
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Plan check fee ?Sm of aLo,e Sce re,ertie =
PFR\II I ISSUING FF[ S 00
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PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HERESY ACKNOWLEDGE THAT I HAVE HEAD THI! APPLICATION
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCE! AND LAW! REGULATING HEAT I NO VENTI APPROVAL! DATE INSPECTORa S'ONA RE
LATING AIR CONDITIONING
ROUGH
I MEREST DIV1 IO THAT I E NOT ACTING IN VIOLATION
DI CHAPTER B DIVISION 3 OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STAIF
T[ CALIFOR NI
SIGNATURE PERMIT VALIDATION c-E*—� M o CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK M 0 CASH
z=)NiPENSATION
23s-�AUG soar o 2. 7.00 ,&%M
:_!CY FIOLDER:
rOLICY NUMBER
!EE BACK OF APPLICATION FOR COMPLETE IEC SCHEDULE ��