HomeMy Public PortalAbout4803 ALESSANDRO AVE_Mechanical__ 76 A36A CE 818 I/75
APPLICATION FOR PERMIT TFMPLE Cr
r HEATING - VENTILATING - AIR CON01110NING g
COUNTY OF LOS ANGELES BUILDING 4803 N ALESSANDRO if.tr
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY TEIqPLE CITY
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER DURFEE, DO LD
(PRINT OR TYPE ONLY)
MAIL
VO TYPE&SIZE OF EQUIPMENT FEE ADDRESS ABOVE
SEE BACK OF APPLICATION r
1 FORCE AIR FURNACE BTU 75-p-ON 7 50 CITY TEMPLE CI l��� N� 286-4713
CONTRACTOR
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1 COMPRESSOR BTU, 3 7 50
ADDRESS 2034 NORTH PECK ROAD
VENTILATION FAN CITY SO EL XONTTEL NO
LIST ALL OTHERS BELOW STATE LICENSE NO 265094 LIC CL SS C-20
DISTRICT NO GROUP �Z NE PROCESS BYYce
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~ INSPECTION RECORD
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Plan check fee See reverse z
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PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO r
I HEREBY ACK40WLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - INSPECTORS SIG
/ WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENT APPROVALS DATE
LATING AIR CONDITIONING
ROUGH r
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF CALIFO NIA
SIGNATURE 4-26-76 PERMIT VALIDATION K 0 CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK O CASH
5 7 2 R c 7 4 1 U 1 950
1 R Y _
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