HomeMy Public PortalAbout6380 ENCINITA AVE_Mechanical__ Tf A,64!E 816-1/]5 ��'
APPLICAT FOR PERMI
4; HEATING - VENTILA ING • AIR CON TIONING
COUNTY OF LOS ANGELES ADDRESS
DEPARTMENT OF COUNTY ENGINEER 63.8.0_N.—Enc_iD-i_ta_Ama.
BUILDING AND SAFETY DIVISION LOCALITY,Temple City License 0093
NEAREST
CROSS ST. Olive -
FOR APPLICANT'TO FILL IN OWNER
(PRINT OR TYPE ONLY) Mr and .Mrs_. M. E. Barton
MAIL
No. TYPE&SIZE OF EQUIPMENT FEE ADDRESS '
SEE BACK OF APPLICATION 6.3.80_N.._Eoc_in i to-Ave_
CITY Temple City TEL. NO. 287-4253
1 FORCE AIR FURNACE, BTU 8.000_ 10 00
1 . _ CONTRACTOR E. L. Payne
1 COMPRESSOR, BTU 30-000_ 10 00
ADDRESS
VENTILATION FAN CITY 446-6118
TEL. NO.
Acca d_i a
LIST ALL OTHERS BELOW STATE LIC.
LICENSE NO. 120228 CLASS
!i/p� B
C-20
ICT NO. GROUP 1 4E V CESSEO Y
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509 _3 v
INSPECTION RECORD
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Plan check fee. See reverse.
PE10111' ISSIANG VIA: S UU
TO'TA I. P'EI: 1 27 100
PLAN CHECK APPLICANT '
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AN STATE THAT THE ABOVE IS CORRECT'AND AGREE TO COMPLY
WITH ALLORB INANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING. AIR CONDITIONING.
PFINAL
H
1 HEREBY CERTIFY T I <M NOT ACTING IN VI ION
OF CHAPTER G, '
V
ISI.
3, OF THE BUSIN SS AND PROF ORAL
CODE OF THE STPT OF .P' IF�p NI A. ' /
G IG NATURE q���y� � /ice MIT VALIDATION cK. M.D. CASH
OF PERMIT E_ Lee-1'L_-L-
PLAN . r •.I �'� SATIW?`
POLICY HOLDER "
0 4, 'JUN 12 411 0 2 7.0 0 =
�° Crsa ._.
P ley INUMBER a 3i o7�0 '.� .;; < i