HomeMy Public PortalAbout6238 GOLDEN WEST AVE_Mechanical__ 76 A364 - CE 818 -1/75
APPLICATION FOR PERMIT
HE'A•TING - VENTILATING - AIR CONDITIONING
37 r �..
COUNTY OF LOS ANGELES ' BUIADDRESS 62 8. Golden West
DEPARTMENT OF COUNTY ENGINEER _
BUILDING AND SAFETY, DIVISION; LOCALITY '.Temple City `
NEAREST '
CROSS ST. Lbngden Av
FOR.APPLIC'ANT• TO FILL IN OWNER
(PRINT OR TYPE ONLY) _ - Mr -and Mrs. F. Ki n
-MAIL '
NO. TYPE&SIZE-OF EQUIPMENT FEE ' ADDRESS 6238 Goldd;en• West _ ;
"SEE BACK OF APPLICATION-
CITY. Temple City * TEL. NO. 286-330.1
FORCE AIR FURNACE, BTU 269�_
5273,
CONTRACTOR:E". L. Payne?"Co.
COMPRESSOR, BTU _l�8.- 00 - 10 - 00 ADDRESS 166 W.-, L i ve Oak
VENTILATION,FAN CITY TEL. NO:
Arcadia 446-6118
LIST ALL OTHERS BELOW STATE 12220-- �_-y< LIC"_ C-20 _
- 4L - O CLASS ,
I 7 ^ICT NO. ,'GROUP ZONE - PROCESSED BY
INSPECTION RECORD
,.= 0
0
21825A W
#,0,o 0 o4 1 z
Plan check fee. See reverse.
hrlc�irr Isa;l�c FI:1:;. 3]Qq 2'° ° 17,00
17 pp' oto 0 1.�"p1-p�
PLAN CHECK APPLICANT 12 1 4. 18
NAME
ADDRESS
TEL NO. -r
CITY �
I HEREBY ACKNOWLEDGE THAT IHAVE'READ THIS APPLICATION {'
AND STATE'THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SPECTOR'S SIG TURE
WITH ALL ORDINANCES AND LAWS REGULATING- HEATING, -VENTI- 't APPROVALS DATE
EATING,-AIR CONDITIONING •• - '
ROUGH
'I HEREBY CERTIFY THAT I AM NOT ;A•GTI IN VIOLATION -
OF CHAPTER 9, DIVISION 3 THE BUSINESS PROFESSIONAL FINAL' -
CODE OF THE'STATE F C IF RlLl A. :.
SIGNATURE 1PERMIT VALIDA,T ON CK. /CASH -
OF PERM
1/T �j
PLAN C VAL DATI cli. M 0." CASH