HomeMy Public PortalAbout8754 HERMOSA DR_Mechanical__ 76 A364- CE B 18- 5-73
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APPLICATION FOR PERMIT
t i HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF L05 ANGELES BUILDI55 8 E. H osa Drive
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FFAND
APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) Eleanor R. Gilbert
MAIL
F APPLIANCE OR EQUIPMENT FEE ADDRESS .8 4 E. Hermosa Drive
CITY San Gabriel TEL. NO. 285-4671
PTION UNIT, BTU
CONTRACTOR Trane H G C
NDLING UNIT, CFM
ADDRESS 2o34 North. Peck Road
R, BTU CITY So. E1 .Monte TEL. NO. 579_7082
ESSOR, BTU 2 OO STATE LIC5 . .
LICENSE NO. 265094 CLASS C-20.
ATION SYSTEM DISTRICT NO. GROUP NE OCESSED BY
RATIVE COOLER ^ y.� -�/
CE: FAUG AV TY BTU��d00 TJ OO - INSPECTION RECORD
R: SUSPENDED—UNIT_ y
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Plan check [Gr. 35,E of above. See reverse.
'Xo' c'.c. khq j 9
PERMIT ISSUING FEES 1 3 100
T0T,k , FICC 1 13.00.
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 ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTJIR $I UR.
LATING, AIR CONDITIONING.
ROUGH
HEREBY CERTIFY THAT I NOT ACTING IN VIOLATION `n
OF CHAPTER 9, DIVISION OF THEE BUSINESS AND PROFESSIONAL
CODE OF THE STATE OF CALL IFORNIA.
SIGNATUREI .1 PERMIT V LIDATI N CK. M.D. CASH
OF PERMITTEE W - A .
PLAN CHECK VALIDATION CK. M.G. CASH
1.4,r JUL 1 4 1 A 1 3.0 0 a:
;'EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
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