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HomeMy Public PortalAbout5028 AGNES AVE_Mechanical_4/28/1969 y � i 76A364C ► CE 8181REV 6/78{ ©S r APPLICATION FOR,PERMIT 4 HEATING - VENTILATING,- AIR, CONDITIONING r COUNTY OF LOS ANGELES BUILDINGANDSAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS 5028 1V Agnes Ave. " (PRINT OR TYPE ONLY) v LOCALITY Temple ,Cit`y' , NO TYPE OF APPLIANCE OR EQUIPMENT FEE ` NEAREST CL ti CROSS ST ✓JL�6��-Q ` ABSORPTION UNIT BTU b 7,, t OWNER A. R. Shaw, r F 7 AIR HANDLING UNIT CFM MAIL �T r f ADDRESS 50`28 1N .i Agnes v BOILER BTU P CITYTemple City _ TEL NO 2869375 ' 1 COMPRESSOR BTU 36+ QOO 10100 CONTRACTOR 0:A.Poindexter,�Inc VENTILATION SYSTEM ' ADDRESS} $fig 3067 a EVAPORATIVE COOLER 9 T t CITYPasadena 91103 TEL NO 79 22177 N 1 FURNACE FAU GR8%f�Y p_ 10 00~ STATE 220862 LIC C20 FLOOR BTU OO •VVl00 LICENSE NO CLASS HEATER SUSPENDED UNIT_ r WALL APPROVALS OAT E INSPECTOR S SIGNATURE �+ ROUGH f FINAL D 0 C] INSPECTION RECORD v V 0 Plan check fee 25% of,above J r PERMIT ISSUING FEE$ 7 .00 Z a TOTAL FEE 27 .00 PLAN CHECK APPLICANT - PLAN CHECK VALIDATION NAME L- "� ADDRESS J )0 0 CJ CITY �, s TEL NO c � _ t IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND M STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL s s t 4 2 9 A'� ORDINANCES AND LAWS REGULATING HEATING VENTILATING AIR CONDITIONING �' { I HEREBYr,CERTIFY HA I AM T ACTING IN VIOLATION OF PERMIT VALIDATION w # e oi'o o 4 1 CHAPTER 9 DIVISION 3 OF E BU ESS AN PR SSIONAL CODE �to 0 2r7 0 0 OF THE STATE OF CALIF N i SIGNATURE, OF PERMITTEE O O O 2 7,0 0 V DISTRICT NO 4 PROCESSED BY v ' T P= 0509-79 p : P s