HomeMy Public PortalAbout5816 MYDA AVE_Mechanical__ 78 A3f I- CE 818-1/75
APPLICATION -FOR PERMIT
HEATING = VENTILATING- AIR-CONDITIONING"
COUNTY'OF LOS ANGELES BUILDING 581 Myda Avenue
DEPARTMENT OF COUNTY ENGINEER .ADD,
BUILDING AND SAFETY DIVISION LOCALITY Temple City '
NEAREST
CROSS ST.
FOR,APPLICANT TO ILL IN' . OWNER '
(PRINT OR TYPE ONLY) MAIL
Ed Bauer
NO. TYPE&SIZE OF EQUIPMENT FEE ADDRESS 5816 Myda
SEE BACK OF APPLICATION -
CITY Temp ,e lty TEL. NO. -0519
286
FORCE AIR FURNACE, BTU
1 COMPRESSOR, BTU' 2-ton 7 50 CONTRACTOR Bryant Heat. &'Air Cond
ADDRESS1350 E. Las Tunas"Drive
VENTILATION FAN - CITY San Gabriel TEL. NO." 286-1141
LIST ALL OTHERS BELOW. STATE LIC.
LICENSE NO. • '2217'`x)1' CLASS•. C20
DISTRICT-NO. GROUP ZONE, ROLE ED BY
08 '
INSPECTION'RECORD
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O-'
Plan check fee.-See reverse. .
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PE111I1'I• ISSUING FEF" S
'T0'rAI. F)--,F: _12 00
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT (-;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 VIOLATION
OF CHAPTER 9', DIVISIO OF THE BUSINESS ANSOROFESSIONAL FINAL �•. -v ✓ �
CODE OF THE STATE'OF IFOp NIA.. J�: ,
SIGNATURE (/�/, ERMIT.VALIDATION CK. M.O: CASH
OF PERMITTEE
,PLAN CHECK VALIDATION CK. ,O. - CASH
2.'8';8'0 APO Lz 4 J. .1-2.0 0