HomeMy Public PortalAbout9934 MILOANN ST_Mechanical__ r C
76 A364.`6E 818-1/75 '
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ;ADDRESS 4 a 902-C
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
Temple City 91780
NEAREST
CROSS ST..• Arden
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) Mrs. Charles E etter
MAIL
NO. TYPE&SIZE OF EQUIPMENT FEE ADDRESS /( E. Miloann
SEE BACK OF APPLICATION. - -
•
FORCE AIR FURNACE, BTU RO�yOOOCITYTi-mplp- City. TEL. NO._
CONTRACTOR E L Payne
COMPRESSOR, BTU 30,000
ADDRESS 166 W. Live Oak
VENTILATION FAN CITY ArCad la TEL. NO.4464,118
LIST ALL OTHERS BELOW STATE LICENSE NO, 120228 CLASS C-20
DFSTRICT NO. GROUP ZONE -PROCY.SDED BY •-
•
INSPECTION RF-COFie
0-
C.)
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Plan check fee. See reverse.
PEM111' ISSUING FEE S To
TOTAL, FEE: 27 00
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ'THISAPPLICATION •' ,•i ,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI-- APPROVALS - DATE 'INSPECTOR'SSIGN• ,
LATINS.AIR CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOL ON- ' ROUGH
' OF CHAPTER 9, DIVISION OF THE BUSINESS AND PROFE NA•L FINAL '
CODE OF THE STATESQFI F09 NIA.
SIGNATURE .f' PERMIT VALIDATION CK. M.O. CASH
O+`FSt PERM
•O.Pe} 4.
A CASH
OW
1 0 4*APR 24 4,41 D 2 7.0 0 &
,ICY HOLDER. - .
,IC's' NUM.BBR: .13 i 0 7 176 0 7 7711