HomeMy Public PortalAbout4854 FRATUS DR_Mechanical__ 76 A364 / CE 8 18 -1/75
APPLIC ION FOR PERM
HEATING - VENTILATING - AIR CON01110NING
COUNTY OF LOS ANGELES BUIL
ADDRESS
DEPARTMENT OF COUNTY ENGINEER —
BUILDING AND SAFETY DIVISION LOCALITY
_ Temple C3-ty
NEAREST
CROSS ST Lower Azusa`
FOR APPLICANT TO FILL IN OWNER �r
(PRINT OR TYPE ONLY) G. Ulmer
MAIL
NO TYPE&SIZE OF EQUIPMENT FEE ADDRESS 4854 Fratus Drive
SEE BACK OF APPLICATION
FORCE AIR FURNACE, BTU � �{ CITY Temple Cit TEL NO 287_7587
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COMPRESSOR, BTU CONTRACTOR AAA Conditioned Air Inc.
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ADDRESS 25 Rosemead ilvd.
VENTILATION FAN
CITY Rosemead TEL NO 288-6431
LIST ALL OTHERS BELOW STATE LIC
LICENSE NO 293529 CLASS C-20
1
DISTRICT NO GROUP ONE PROCE SED BY
INSPECTION RECORD
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Plan check fee see reverse
VI It\III I�SI;IVC H i,l �
101 41 h CI ,�
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE A80VE IS CORRECT AND AGREE TO COMPLY
WITH ALLORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING AIR CONDITIONING
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION ROUGH
OF CHAPTER 9 DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL S3 77
CODE OF THESTATE LI
SIFOR
GNATURE PERMIT VALIDATION `�M o CASH
Si PERMITTEE
PLAN CHECK VALIDATION CK M 0y CASH
0,4 0 MAY 2 4a1 9 2Y3.253 A98