HomeMy Public PortalAbout4933 FIESTA AVE_Mechanical__ r 75
76 A364-- CE 818-1/75
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS
4 Fiesta
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY Temple Cit
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) eT. Gourley
MAIL
NO TYPE&SIZE OF EQUIPMENT FSE ADDRESS 4 Fiesta .
SEE BACK OF APPLICATION
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�� Q4,? CITYTemple City TEL. NO. 286-3393
FORCE AIR FURNACE, BTU _
CONTRACTOR AAA Conditioned Air Inc.
COMPRESSOR, BTU D
ADDRESS 3025 Rosemead Blvd.
VENTILATION FAN CITY TEL. NO.
Rosemead 'o- 288-6431
LIST ALL OTHERS BELOW STATE LIC.
LICENSE NO. 293529 CLASS
DISTRICT N5. GROUP ZONE PROCESSED BY
INSPECTION RECORD
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Plan check fee. See reverse. z
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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 SIGNATURE
LATING, AIR CONDITIONING.
ROUGH
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIV'�3, OFUSINESS ANO PROFESSIONAL FINALCODE OF THE STAT
SIGNATURE P IT VALIDATION CK. M.O. CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK. M.0. CASH
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