HomeMy Public PortalAbout9625 WORKMAN AVE_Mechanical__ 6A36A—CEB1B'L$-68 APPLICATION FOR PERMI
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HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
TNEAREST
ENC
SS 9625 East Workman
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JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGLITY Temple City
FOR APPLICANT TO FILL IN SS .
(Print or type only)
OWNER Holder
NO.. TYPE,OF•APPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS 5808 N. Camellia, T. C.
ABSORPTION SYSTEM, BTU CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR Bryant Heat. & A.C.
BOILER, HORSEPOWER ADDRESS 1350 E. LasT unas Dr.
1 COMPRESSOR, HORSEPOWER 2 4 00 CITY San Gabriel TEL. No.286-1141
STATE LIC.
VE1ATILAT%0N SYSTEM LICENSE NO. 221751 CLASS C20
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
1 FURNACE: FAUGE2p�VjTY • 4 OO Jr r a
FLOOR—BTU �'j INSPECT.ION.RECORD
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HEATER: SUSPENDED.UNIT— 9x
WALL CD
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NEW—ADDITION• PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $ ] 00
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
HEATING, VENTILATING,AIR CONDITIONING.
1 HEREBY CE TIF A N T ACTING IN VIOL ION
OF CHAPTER 9, DI ISI , OF B (NESS AND PROF S ONAL
CODE OF THE STA 0 1 APPROVALS DATE INSPECTOR'S SIGNATURE
SIGNATURE ROUGH
OF PERMITTE FINAL
t-VALIDATION JACK R. AL LEN
CKJ M.O. CASH SUPERVISING MECHANICAL ENG'R.
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IEE RACK OF APPLICATION FOR COMPLETE FEE SCHEDULE