HomeMy Public PortalAbout6322-6324 TEMPLE CITY BLVD_Mechanical__ 76 A36/- CE 818- 5-73
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING a �3a T�PLE 01'f BLUD
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY P
NEAREST 1 OWaDI 1
CROSS ST l-. �J
FOR APPLICANT TO FILL IN OWNER wp YJ�66 ND
(PRINT OR TYPE ONLY) MAI L
//''fi�r .�'� ��II/� AVEO yPE pFAPPLIANCE OR EQUIPMENT FEE
ADDRESS 1495 Q rV�I L u -
ABSORPTION UNIT, BTU CITY SAN 6ABOCLTEL NO s o?k03
CONTRACTOR
AIR HANDLING UNIT, CFM ` 1
ADDRESS Y,' P'�N
A BOILER, BTU CITY I I tSTATEgA�r� lf7 TEL NO 33 -
^/ COMPRESSOR, BTU 7� EALICENSE NO A/CK LJ / 2) CLIC
LASS
�x VENTILATION SYSTEM DISTRICT NO onoJ ZONE CES 0 BY
EVAPORATIVE COOLER
FURNACE FAUGRAVITY �OtRD INSPECTION RECO
FLOOR BTU
4
HEATER SUSPENDED—UNIT—
WALL
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0
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Plan check fee 25' of BboNe 'ee re%er•e
PFR\111 ISSUING FFP. 3
I01 AL FLE '1
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REOULATING HEATING YENTI- APPROVALS DATE INSPECTOR l SIGNATURE
LATINO AIR CONDITION I NO
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTINO IN VIOLATION
OF CHAPTER D DIVISION 3 OF THE BUSINESS AND PROFESSIONAL FINAL !�� 7 ' ^-���
CODE OF THE STATE OF CALIFORNIA
SIGNATURE
OF PERMITTEE cK M PERMIT VALIDATION o CASH
Moo
MM
PLAN CHEC VALIDATION crc M D cnsH
=�PJ.3A i ION
248-�AUG 1041 U 47.00
rN. Y rfoL DER:
POLICYNUM13ER:
- SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE "'-K m ✓l )`