HomeMy Public PortalAbout4939 GLICKMAN AVE_Mechanical__ 76A364E - C 8168-6/75 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDI AND SAFETY DI YpOoN
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS
493c) Glickman Avp-.
LOCALITY Temple City
No. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST
CROSS ST.
Live Oak Ave-
ABSORPTION UNIT, BTU
OWNER Mr- Olaf Milton
AIR HANDLING UNIT, CFM MAIL
ADDRESS 4939 GlickmanA
BOILER, BTU CITY TEL. NO.
Temple City
44
COMPRESSOR, BTU CONTRACTOR E L PA NEANY
P
VENTILATION SYSTEM ADDRESS 166 W
. Live Oak Ave-
EVAPORATIVE COOLER CITY Arcadia TEL. NO. 446-6118
FURNACE: FAU_X_GRAVITY STATE LIC.
FLOOR BTU LICENSE NO. i7n 9R CLASS
HEATER: SUSPENDED UNIT DlsrRlcT No. GRouP ZONE P CESS ED B y
WALL / el-
CD
U b, J
INSPECTION RECORD
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Plan check fee 25% of above.
PERMIT ISSUING FEE S
TOTAL FEE $23 2
PLAN CHECK APPLICANT
NAMF
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 ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI-
LATIN.. AIR CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DIVISION 3, OF TME BUST NES AND PROFESSIONAL
CODE OF THE STATE OF C"IFORNIA. ROUGH
SGINATURE
OF PERMITTEE /V'�� FINAL �r`-',7
PLAN CHECK LIDA IONERMIT VALIDATION �` M.o. cases
CK, M.O.M,O. CASH
6 8 B SEP 7 41 1 2 3.2 5 o: