Loading...
HomeMy Public PortalAbout5006 AGNES AVE_Mechanical_6/20/1976_furnace, compressor - CITY OF TEMPLE CITY #12639 76 A364 CE 818 1/75 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES FNEAREST G DEPARTMENT OF COUNTY ENGINEER S 500 Agnes-Ave BUILDING AND SAFETY DIVISION Y Templ C a T R APPLICANT TO FILLIT (PRINT OR TYPE ONLY) OWNER N Ck' P 1 MAIL NO TYPE&SIZE OF EQUIPMENT FEE ADDRESS 5006 Agnes Ave r SEE BACK OF APPLICATION 1 FORCE AIR FURNACE BTU 180M CITY Temple Cit TEL NO ��(— CONTRACTOR Environmental Systems ` 1 COMPRESSOR BTU M ADDRESS 20938 Currier Rd VENTILATION FAN CITY Walnut TEL NO 964-5693 LIST ALL OTHERS BELOW STATELIC LICENSE NO 265736 CLASS C-20 � DISTRICT NO GROUP JE SSED BY `S^o8 T 1 INSPECTION RECORD (L O U Of O H U W d N Plan check fee See reverse z PI IMI I ISSI 1\( F I I $ `ra V 101 11 I j1 PLAN CHECK APPLICANT 9SO 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 ORDINANCESAND LAWS REGULATING HEATING VENT I APPROVALS DATE INSPECTOR S SIGNATURE LATING AIR CONDITIONING ROJGH I HEREBY CERTIFY THAT I AM NOT ACTIN IN VIOLATION 1-19 OF CHAPTER 9 DIVI510 OF TZINESS PROFESSIONAL FINAL CODE OF TME STATE OF C LIFOR N SIGNATURE PERMIT VALIDATION cK M O CASH OF FERMITTEE� PLAN CHECK VALI ATION CK M 0 CASH - q ©'9.4 c2jq 20 4 1 0 1 9.5 0�y F R VV ,� d