HomeMy Public PortalAbout4820 FIESTA AVE_Mechanical__ 7.�4kT'36 '`..E 818-1/75
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APPLICATION FOR PERMIT
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HEATING - VENTILATING;=;4,.'AIR CONDITIONING
,.
COUNTY OF LOS ANGELES BUILDING 4820 N. FIESTA
DEPARTMENT OF COUNTY:ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY TEMPL CITY-
NEAREST
ITYNEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER TH RSTON, EVERT
(PRINT OR TYPE ONLY)
MAIL ABOVE
NO. TYPE&SIZE OF EQUIPMENT FEE ADDRESS
SEE BACK OF APPLICATION
� �('� �� CITY TEMPLE CITYEL" NO. 286-2864
1 FORCE AIR FURNACE, BTU 1 00, 00 7 50
CONTRACTOR TRANE HCC
1 COMPRESSOR, BTU 7 50 ADDRESS
4 NORTH PECK BID FAN CITYSO EL MONTEiEL. NO. 579_7982
LIST ALL OTHERS BELOW LICENSE NO. 0 LIC. -20I ICT NO.RGROUP PROCESS D B� . I �VN
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INSPECTION RECORD
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Plan check fee. See reverse.
PI1.13MIT ISS[71M, 1,1-J] c �n All /1 &- /Z
1'0TA1, FI'F 19 50
PLAN CHECK APPLICANT
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 ALLORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNA E
M
LATING, AIR CONDITIONING. y
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING ,IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL oow V
CODE OF THE STATE OF CALIFORN
SIGNATURE I QI 4/._26_7 �r. PER I VALIDATIhN CK.,' M.O. CASH
OF PERMITTEE K/
PLAN CHECK VALIDATION CK, M.0. CASH
5 77���. . 2'7 u 1 9.50 ���
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