HomeMy Public PortalAbout5018 MCCLINTOCK AVE_Mechanical__ - 76 A364--CE 616-1/75
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CON01 ING TENIl�LE CITI
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 5018 MC Clintock
BUILDING AND SAFETY DIVISION LOCALITY Temple City
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) Mr. & Mrs. Arthur Dulm
MAIL '
NO. TYPE&SIZE OF EQUIPMENT FEE ADDRESS 5018 McClintock
SEE BACK OF APPLICATION
fFORCE AIR FURNACE, BTU 100 M CITY Temple City TEL. NO. 443-6765
COMPRESSOR, BTU U
g- � CONTRACTOR AAA CONDITIONED AIR INC.
ADDRESS 10160 E• Valley Blvd.
VENTILATION FAN CITY
El Monte TEL. NO.579-1800
LIST ALL OTHERS BELOW LICE STATE
NO. 293529 CLASS C-20
DISTRICT N0. GROUP ZONE P OCESSED BY
INSPECTION RECORD
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Plan check fee. See reverse. '
r�r:ll�lrr rs5r Inc F i:l: s 00
ro'rm,
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 INSPECTOR'S SIGNATURE
LATING. AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY AT I AM NOT ACTING IN VIOLATION -.
OF CHAPTER 9, DIVISIO 3y F THE BUSINESS AND PROFESSIONAL FINAL r/�- � ) +ate i•' r''
CODE OF THE STATE OF ALI ORNI
SIGNATURE
PERMITTEE PERMIT VALIDATIONcK.? J'O. CASH
C._
PLAN, CHECK VALIDATION CK. ICAC{
CMAPENSAT
1,^'F�;t RR___._ /�f ;};� J•,1 34-1-MAY 1.8 4:1 D 27.0 C? a�