HomeMy Public PortalAbout6326-6328 TEMPLE CITY BLVD_Mechanical__ 76 AP364- CE 616- 5-73
APPLICATION FOR PERMIT
HEATING - VENTILATING • AIR CONDITIONING
COUNTY OF LOS ANGELES gDDRE55 3 G3
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITYTU� WOLE CIT f
NEARGROSSEST Wll��l/GN
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) Mp
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No yPE OF APPLIANCE OR EQUIPMENT FEE
ADDRESS E.
ABSORPTION UNIT, BTU CITVS SW C 'LSI TEL NO 4qS-1903
CONTRACTOR A GL
AIR HANDLING UNIT CFM
ADDRESS
BOILER BTU CITY A l--µ.JA TEL NO33q-(,-j3 D_
COMPRESSOR, BTU STATE LIC
/ LICENSE NOS 1S / CLASS
VENTILATION SYSTEM DISTRICT NO aRO xanE PRoc e0 By
EVAPORATIVE COOLER � o 3 �-2-
FURNACE FAUG ITY �^ J.
FLOOR—BTU- O� INSPECTION RECORD
HEATER SUSPENDED—UNIT—
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PFH%II I ISSUINC FFt S 00
fOIAI. FEF 7
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I He RESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT TME ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENTIrH
DATE INSPECTOR S SIONATU E
LATINS AIR CONDITIOMINO
I HEREBY CERTIFY THAT I E NOT ACTING IN VIOLATION
OF CNA ER 9 OIV1910N 3 OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE ULIFORNI / L
SIGNATURE PERMIT VALIDATION cK M o c.sH
OF PERMITTEE
PLAN CHECK VALIDATION-,,]:xb I LASH
I IvLDER: 2 4 7-AAW 10 41 D 4 7.0 0 •�H
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OLKY NUMBER: y-2 5-76
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHCOULE O