HomeMy Public PortalAbout9153 EMPEROR AVE_Mechanical__ r
i A364'- CE B 18-1/75
APPLICATION,FOR ,PERMIT.
HEATING - VENTILATING - AIR CON011IONING
COUNTY OF LOS ANGELES BUILDING
9153 Emperor
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DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY Sa Gabriel
NEAREST
CROSS ST
JO�FOR.APPLICANT TO FILL IN OWNER Mr. &, Mrs . Marion Olsen
(PRINT OR TYPE ONLY)
MAI L
NO TYPE&SIZE OF EQUIPMENT. FEE ADDRESS )Q3M 9153 Emperor
SEE BACK OF APPLICATION
CITY
FORCE AIR FURNACE, BTU San Gabriel, TEL NO 285-3666
'
COMPRESSOR, BTU 3-ton
CONTRACTOR 'Br� ant Heat. & Air Cond. Incl
1 - ,
ADDRESS 1350 E. La s Tuna s Drive
VENTILATION FAN CITY San Gabriel TEL No 286-1141
LIST ALL OTHERS BELOW LICENSE NO 221751 ATE LIC
CLASS C20-
DI RICT NO GROUP NE �=E
INSPECTION RECORD
OU
O
H
Plan check fee See reverse rj z'
PI 11NII I IY51,1%C FI I S
T0 T,%] 1'I I -
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY +
WITH ALLORDINANCES AND LAWS, REGULATING HEATING, VENTI- APPROVALS DATE - INSPECTOR'S SIGNATURE
LATING AIR CONDITIONING
ROUGH "
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION t
OF+CHAPTER 9 DIVI510 3, OF THE BUSINESS AND OFESSIONAL FINAL �-2,
CODE OF THE STAT / ALIFOR NIA / IV
SIGNATURE PERMIT VALIDATION' CK O CASH
OF PERMITTE ,
PLAN CHECK VALIDATION CK D CASH
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