HomeMy Public PortalAbout6311 TEMPLE CITY BLVD_Mechanical__ ]e.Ai'er -_�E e1e - R n AP CATION F PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEERAR
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNS
(PRINT OR TYPE ONLY)
MAIL
NO TYPEOF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY EL O
ABSORPTION UNIT, BTU I'
CONTRACTOR
AIR HANDLING UNIT CFM
ADDRESS
BOILER BTU CIT /��� / ' TEL NO
/ COMPRESSOR BTU ���'—+ �N•�— // !,
LICENSE NO �v� CLASS
VENTILATION SYSTEM DISTRICT NO anoup zone GSED BY
EVAPORATIVE COOLER
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HEATER
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HEATER SUSPENDED—UNIT_
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PFH\II I ISSUING FEF 8 3 00
POIAL FEC
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENTI APPROVALS OAT! INSPECTORS SIGNATURE
LATINO AIR CONDITIONING
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER B DIVIS10M 3 OF THE BUSINESS AN OF ONAL FINAL
COD! OF THE STATE OF IFO 1
SIGNATURE PERMIT VALIDATION CK M 0 CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK M 0 CASH `j1
�( 1 9 6 713 JUL 2 4 1 D 1 3.00, c
SCE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE