HomeMy Public PortalAbout6361-6363-6365 TEMPLE CITY BLVD_Mechanical__ Te�ue.e lca+eteAl onT APPLICATION FOR PERMIT
HEATIN ENTILATING - Al ON ITIONING
• COU OF LOS ANGELES
DEPARTMENT OF COUNTY EN EER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING 1634o3
(PRINT OR TYPE ONLY( ADDRESS
LOCALITY
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS S
ABSORPTION UNIT BTU
OWNER
AIR HANDLING UNIT CFM MAIL
ADDRESS
BOILER BTU CITY TEL NO
COMPRESSOR BTU O �06(
CONTRACTOR �Fll
1AT6 , Alt,
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY TEL NO
FURNACE F GRAVITY STATE5'1 73 LI SS` .�O
FLOOR BTU LICENSE NO
HEATER SUSPENDED_UNIT— DISTRICT NO 7.3
UP {ONE O SSED By
WALL
J 8 z
INSPECTION RECORD
Plan check fee 25% of above
PERMIT ISSUING FEE$
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
C:rry TEL NO
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING VENTILATING AIR
CONDITIONING
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOUTION OF APPROVALS DATE INSPE TOR S SIGNATURE
CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL CODE
OF THE STATE OF CALIFORNIA ROUGH
SIGNATURE FINAL
OF PERM ITTE
PLAN CHECK VALIDATION CA MDcASH PERMIT VALIDATION cA ND CASH
9540�AVR1744. 1_ 39_.00
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