The URL can be used to link to this page

Home My Public Portal About5561 SULTANA AVE_Mechanical__ COUNTY OF LOS ANGELES - TEMPLE CITY 0 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0203_220003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - _ PHOME:(626) 285-0488 EXT. LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE - - 5561 SULTANA AV FEE DESCRIPTION OWINTITY: UKMU- AMOUNT• - TEMP CA 917802300 _ ASSESSOR INFORMATION NUMBER: _ NEAREST CROSS STREET LAS TUNAS 5387-027-034 01 PERMIT ISSUNRCE FEE 27.75 1 THOMAS PAGE- 596 GRID H4 LOCALITY. TEMPLE CITY 06 FURNACE/HEATER <100 33 00 UMI 891.00 TENANT TOTAL FEES 918 75 - EXPIRES - . 03/22/02 JK 09/18/02OWNER- No: FINfL DATE . .- FAM 411 E HUITINGTON DR // ARCADIA 91007 - 6ESUIPTIUM UWORK REPLACE FUNRACES 1 L 33 UNITS APPLICANT: TR-70. - JAM-SITYOMG DAN (626) 821-0074- 2818 HOLLY AVE bVLLIAL CONDITIONS: ARCADIA 91007 CONTRACTOROS PNGELES CG�tiT APPROVALS DATE J D AIR CONDITIONING (626) 821-0074- 1 V �' 2818 HOLLY AVE LIC. NO FAU/W,ALL FURNACE ARCADIA CA 91007 630471 C20 559MTM AIR OPENINGS ARCHITECT OR ENGINYOF— TEL NO DUCT WORK LIC NO 1111111AC/COXPRESSOR 1 THERM JiTAr ( PUBLIC WORKS) SMOKE DETECTION UEVIFIRE DAMPERS COMMERCIAL HOOD`6//c Se0t REPORT 10: DPR264 ROME TO. BS0508 se . off I I D RA N APPLICATION F®R PERMIT ' I hereby affrc T �t ce LD jR ' antro If ei insure ora cgrm f Workers Co ensot on Insurance - HEATING - VENTILATING - AIR CONDITIONING or a certified copy thereof (Sec p38❑00 Lab Cf) 76A364C _ L Q�,�79091-1 CompahyLerlcan States 8181REv Ioiei) Cen+ed copi is hereby furnished COUNTY OF LOS ANGELES BUILDING AND SAFETY ® Certified copy is filed with the county budd g mspec- FOR APPLICANT TO FILL IN BUILDING tion department (PRIM OR TYPE ONLY) ADDRESS Bldg. 6 5561 Sultan Ave Date Oct. 3 , l ,com LOCALITY Temple City , Ca . NO TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION M WO ERS NEAREST COMPENSATI URANCE CROSS ST (This secMon need not be completed N work ork Involved by ABSORPTKKJ UNIT BTU D1511RICT NO PROCESSED BY the permit Is for one hundred dollars($100)or leu ) 'r or Unify that in the performance of the work for which this AIR HANDLING UNIT CFM U permit is Issued I shall not employ any person In any manner so as to become subject to the Workers Compensation Laws BOILER BTU APP vD l DATE TOR 5 SIGNATURE DateApplicant COMPRESSOR BTU-112'56 ROUGH NOTICE TO APPLICANT If offer making this Certificate of VENTILATION SYSTEM FINAL Exemption you should become subject to the Workers COmpenwhon provisions of the labor Code you must forth EVAPORATIVE COOLER VALIDATI 604 Y-" with comply with such provisions or this permit shall be deemed revoked FURNACE FAU L- -GRAVITY-it LICENSED CONTRACTORS DECLARATION 3 FLOOR BTU I hereby affirm that I am licensed under provisions of Chapter 9 HEATER ,SUSPENDED UNIT_ .(commencing with SecAbm7000) of owislon 3 of the Business WALL C E�Yd Professions Code and my Wetrise is In full force a0d effect - >- License Number 374587 L,c Class C-20 QI'�IQ 'ton c aRamay A/C pate Oct . 3 , 198 I (104-88_ 'am exempt under Sec W E Plan check fee d 'I 8P C for this reason _ PERMIT ISSUING FEE $ .S = +� I Date TOTAL FEE Signature OWNER BUILDER DECLARATION PLAN CHECK APPLICANT I hereby affirm that I am exempt from the Contractor s License ► Law for the following reason (Section 7031 5 Business and NAME Professions Code) r ❑ I as owner of the property or my employees with ADDRESS wages as their sole compensation will do the work and CITY TEL NO the structure is not intended or offered for sale(Section i 7044 Business and Professions Code) ^- OWNER Sultana Village Partners ❑ j as owner of the property am exclusively contracting MAIL - - with d contractors to construct the project (Sec ADDRESS hon 7044,044, Business and Professions Code) CONSTRUCTION LENDING AGENCY CrTY TEL NO ` I hereby affirm that there so construction lending agency for , he performance of the work for which this _ p permit Is issued CONlRACIORRamaAir Cd. (Sec 3097 Gv C ) - on / ADDRESSAve . Lender s Nome 2645 Lee #4 Lender s Address CITSo. E1 Monte TEL NO 818/350-41 9 I certify that I have read this application and state that the LICENSE NO 374'587 LICA- C-20 _ ` above information is correct I agree to comply with all County - ordinances and State jaws relating to budding construction _ and hereby authorize representatives of this County to enter - - - - - upon the obcv7D,rtioqecl prr for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Oct. 3 , 1988 L>jrgwre of Applicant or Agent V Dote 'WORKERS CI have ATIONDECLARATION conse APPLICATION FOR PERMIT I_herefty affem that I hove a cerh6cale of consent m self ' Insure or p carnf,cate of Workers Compensation Insurance7eA3eAc - HEATING - VENTILATING - AIR CONDITIONING or a c�,alnifled copy thereof (Sec 3800 Lab C ) CE 818(REV 10%Bl) - - PcIIc)5279091-1Company ArnarI�.es ❑ Certified copy Is hereby furnished COUNTY OF LOS ANGELES BUILDING AND SAFETY E111 ertified copy is filed with the county building Inspec- FOR APPLICANT TO FILL IN - BUILDING tion department (PRINT OR TYPE ONLY) ADDRESSElld . 1 5561 Sultana A Datenct. 3, i l@aroLoITYTemLDle City, Cal . CERTIFICATE OF EXEMPTI ROM WORKERS FN F NO TYPE OF APPLIANCE OR EQUIPMENT FEE vLLNEAREST COMPENSATION INSURANCE CROSS ST (This section need not be completed If the work Involved by ABSORPTION UNIT BTU DISTRICT 110 PROCESSED er the permit Is for one hundred dollars($100)or less ) I certify that In the performance of the work for which this AIR HANDLING UNIT CFM 5✓ permit Is Issued, I shall not employ any person in any manner so as to become sublecl to the Workers'Compensation Laws BOILER BTU AMP VALS DATE s s vaNAruRE Dote Applicant COMPRESSOR BTU 18 . 000 d ROUGH go NOTICE TO APPLICANT If after making this Certificate of VENTILATION SYSTEM FINAL — S Exemption you should become subject to the Workers II ' Compensation provisions of the Labor Code you must forth EVAPORATIVE COOLER VALIDAT16 with comply with such provisions or this permit shall be deemed revoked FURNACE FAU XGRAVIq O ' LICENSED CONTRACTORS DECLARATION FLOOR BTU �1 L1 • UQ� - I hereby affirm that I am Lensed under pronstons of Chapter 9 HEATER SUSPENDED UNIT_ r (commencing with Section 7000) of Division 3 of the Business WALL Y and Professions Code and my license Is in full force and effect - License Number 374587 tic Class (`-9T1 - , Contractor Ramay Air COT�1B Oct . 3, 1988 O ❑ I am exempt under Sec � 0 8 3 2 A Plan check fee N B 8P C for this reason - PERMIT ISSUING FEE $ -SO # • •I•i• • 8 Dote Signature TOTAL FEE I • s905,0 OWNER BUILDER DECLARATION- PLAN CHECK APPLICANT I hereby affirm that I am exempt from the Contractor s License , • • • 9 0 5 0 5 Law for the following reason (Section 7031 5 Business and NAME Professions Cade) 1 0 04 t-8 8 ❑ I as owner of the property or my employees with ADDRESS wages as their sole compensation will do the work and CITU TEL NO the structure Is not Intended or offered for sole(Section 7044, Business and Professions Code) owNERSultana Village Partners ElI as owner of the property am exclusively mnnacnng wrih'hcensed contractors to construct the project (Sec 'MAUL -' tion 7044 Business and Professions Code) ADDRESS CONSTRUCTION LENDING AGENCY CITY TEL NO ' I hereby affirm that there is a construction lending agency for Poo performance of the work for which this permit Is issued CONTRACTOR Rama Air Cond. (Sec 3097 Civ C ) Lender is Name - ADDRESS 2645 Lee Ave . , Suite #4 ' Lender s Address CITY So . El Monte TEL NO 818/350-41 9 I certify that I have read this application and state Ihot the STATE J74587 LICA (.'-20 _ _ above information Is correct I agree to comply with all County ordinances and State jaws relating to building construction and hereby authorize representatives of this County to enter - upon the above ntioned pr y for Inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE _ e Oct- 3, 1988 SI ere of App ant or Agent V Date - - - - WORK DEC offwm that COMPENSATION cats of once APPLICATION FOR PERMIT I Hereby affem that I have a certificate of consent to self � , I%surp ono cert,ficate of Workers Compensation Insurance, - HEATING - VENTILATING - AIR CONDITIONING or a certified copy thereof(Sec 3800, Lab C ) 76A764C CE 818(REV 10/81)- 0 0/81)' - PoTf NC 091-1 Company AmPriran States , - ❑ Cettifled cogy is hereby furnished COUNTY OF LOS ANGELES BUILDING AND SAFETY 201"Cenifted copy is filed with the county building inspec- FOR APPLICANT TO FILL IN BUILDING r tion department ADDRESS (PRINT OR TYPE ONLY) L, Date nrt_ a , 1E#A.Bcont APPLIANCE Tmeple City, Cal . NO TYPE OF APPLICE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTIO F M WO KERS CROSS S t COMPENSATION I RANCE CROSS Si ' ' (Tilt sMbn need not beecompletedcompleted 11 the work Involved by ABSORPTION UNIT BTU oisiPKr No PPoasseo BY the pemtM Is for ono hundred dollen($100)or lest ) AIR HANDLING UNIT CFM_ �, I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers Compensation Laws BOILER BTU APPROVALS DATE I SIGNATURE Dale Applicant COMPRESSOR BTU T fl, Mn ROUGH NOTICE TO APPLICANT If after making this Certificate of VENTILATION SYSTEM FINAL _ Exemption you should become subject to the Workers Compensation provisions of the Labor Code, you must forth EVAPORATIVE COOLER VALIDATION 010 with comply with such provisions or this permit shall be deemed revoked FURNACE FAU__GRAVITY LICENSED CONTRACTORS DECLARATION 7 dd I hereby affirm that I am licensed under provisions of Chapter 9 HEATER SUSPENDED—UNIT— (commencing USPENDED UNIT_(commencing with Section 7000)of Division 3 of the Business WALL and Professions Code and my license Is In full force and effect d License Number 374587 LIc Class C-20 u Poo.v rn Ix -Contractor RamaLir ,flRtg Oct. 3, 198f O 0 ❑ ;20830A C I am exempt under Sec Plan Check fee # 8 N B 8P C for this reason PERMIT ISSUING FEE$ I •'1 5 Q 50 Z Date Signature TOTAL FEE ( S • . 1 5 (1 5 05 OWNER BUILDER DECLARATION RAN CHECK APPLICANT ' I hereby affirm that I am exempt from the Contractor s License , 1 Q 0 4=8 8 Law for the following reason (Section 7031 5 Business and NAME ' Professions Code) ' ❑ I as owner of the property or my employees with ADDRESS , wages as their sole compensation will do the work and CITY TEL NO the structure Is not intended or offered for sole(Section 7044, Business and Professions Code) ` OWNER Sultana Village Partners ❑ I, as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec- MAIL tion 7044 Business and Professions Code) ADDRESS CONSTRUCTION LENDING AGENCY CITY ' TEL NO "- I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued CONTRACTOR Rmmay Air Cond. _ (sec 3097 civ c ) .ADDRESS 2645 Lee Ave . , 44 - Lenders Name ' OTYSO. E1 Monte TEL NO 818E50—]429 — - Lenders Address STATE LIC I certify that I have rood this application and state that the LICENSE N0374S 97 CLASS C-20 __ - above information is correct I agree to comply wdh all County ordinances and State laws relating to budding construction and hereby authorize representatives of this County to enter - t - upan the above entmned arty forinspection urposes SEE REVERSE FOR EXPLANATORY LANGUAGE _ Oct. 3�, 1988 Jae SW re of p¢ant or Agent Date - DEC TiON WORKERS Ihave COMPENSATION cafe of corse APPLICATION FOR PERMIT I hereby affrrrq that I have o certificate of consent to self Insyrel ora eerllflcotis of Workers Compensation Insurance 7�3UC — , -HEATING - VENTILATING - AIR CONDITIONING ora certified copy thereof (Sec 3800 Lob C ) 818(REV 70/BI) -PaJIC �79091-1 •merican States CE r_1y -Company Certified copy Is hereby furnished COUNTY OF LOS ANGELES - BUILDING AND SAFETY Certified copy is filed with the county building inspec- ` FOR APPLICANT TO FILL IN - BUILDING tion department (PRIM OR TYPE ONLY) ADDRESS Bld . 3 5561 Sultana DateOrt .3_ _L_, R"cort LOCALITY Temple C$V , Ca . NO TYPE Of APPLIANCE OR EQUIPMENTFEE CERTIFICATE OF EXEMP FROM WORKERS nR.4REs7 COMPENSATION INSURANCE CROSS ST (This tecHoa need riat be completed If the work Involved by ABSORPTION UNIT BTU DISMIU NO P40CEssED BY _ the permit Is for oM hundred dollars($100)or Ina ) AIR HANDLING UNIT CFM (/ I certify that in the performance of the work for which this permit Is Issued, I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws BOILER BTU APPROVALS DATE Ns s sIGNARI s7s o Date ATPhcant COMPRESSOR BTU � ROUGH NOTICE TO APPLICANT If, after making this Certificate of VENTILATION SYSTEM FINAL Exemption, you should become subject to the Workers Compensation provisions of the Labor Code, you must forth EVAPORATIVE COOLER VALIDATION with comply with such provisions or this permit shall be _ deemed revoked v FURNACE FAU�X GRAVITY -76 0J LICENSED CONTRACTORS DECLARATION 7 FLOOR BTU I hereby affirm that lam licensed under provisions of Chapter 9 HEATER SUSPENDED UNIT_ (commencing with Section 7000) of Division 3 of the Business WALL and Professions Code and my license is in full force and effect d , uLicense Numher374587 Uc Clain-20 'Con1roctorA4jzjQ as; � # ❑ I am exempt under Sec _ T rY Y Y L W Plan check fee 1 • 1 5 Q 5 0 H B 8P C for this reason Dote PERMIT ISSUING FEE $ () • • 1 5 Q 5 0 5 Z Signature TOTAL FEE S I C104-88 OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT I hereby affirm that I am exempt from the Contractor's License ` ► - Law for the fallowing reason (Section 7031 5 Business and NAME Professions Code) ' ❑ I as owner of the property or my employees with ADDRESS wages as their sole compensation will do the work and - CITY TEL NO the structure is not intended or offered for sole(Section t 7044 Business and Professions Code) - OWNER Sultana Village Partners ❑ j, as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec- MAIL tion 7044 Business and Professions Code) ADDRESS CONSTRUCTION LENDING AGENCY CITY — TEL NO I hereby affirm that there is a construction lending agency for ► the performance of the work for which this permit is issued CONTRACTOR Ramay Air Cond . (Sec 3097 Civ C ) ADDREsS2645 Lee Ave . , -#4 - Lander shame Lander sAddress CITY So. E1 Monte - TEL NO 818/350-41 9 - - -- STATE LIC I certify that I have read this application and state that the LICENSE NO 374587 cL,Ass C-20 above information is correct I agree to comply with all County ordinances and State jaws relating to building construction - and hereby authorize representat es of this County to enter upon the above ntioned pro y for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Oct . 3 , 1988 ll� mture of App ant or Agent Dore WORKERS COMPENSATION DECLARATION , APPLICATION FOR PERMIT I hereby affxm that I have a certificate of consent to self � msgra ora certificate of Workers Compensation Insurance ` - - HEATING-..VENTILATING - AIR CONDITIONING or a certified copy thereof(Sec 3800, Lab C ) 76A364C _ CE BIB(REV 10/Bl) yd��091-1 companan States COUNTY OF LOS ANGELES BUILDING AND SAFETY F1Ceslrfied copy m hereby furnished ® Certified copy Is filed with the county building inspec- FOR APPLICANT TO FILL IN BUILDING Bldg . 4 , 5561 Sultana Ave tion department ADDRESS (PRINT OR TYPE ONLY) Date 0171- 3, 19ARphcant LOCALITY Temple City, Cal . NO TYPE Of APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEM ON OM W KERS NEAREST COMPENSATIO URANCE CROSS ST (This section need not be completed H the work In"h ed by ABSORPTION UNIT BTU DISTRICT NO PROCESSED BY the Permit is for one hundred dollars($100)or Ins) I certify that in the performance of the work for which this AIR HANDLING UNIT CFM permit is Issued I shall not employ any person in any manner so os to become subject to the Workers Compensation Laws BOILER BTU APPROVALS DATE ORSSlc 1 RE Date ` - Applicant COMPRESSOR BTU r Q ROUGH ` NOTICE TO APPLICANT If, after making this Certificate of VENTILATION SYSTEM FINAL Exemption you should become subject to the Workers, _ Compensation provisions of the Labor Code you must forth EVAPORATIVE COOLER VALIDATION with comply with such provisions or this permit shall be deemed revoked 7 FURNACE FAU-[_GRAVIT(17�r� O LICENSED CONTRACTORS DECLARATION FLOOR BTU ��'((l1, I hereby affirm that I am licensed under provisions of Chapter 9 i HEATER' SUSPENDED—UNIT— (commencing USPENDED UNIT_(commencing with Section 7000)of Division 3 of the Business WALL and Professions Code,and my license is in full force and effect - } 6 License Number-3 7 4 5 8 7 1-6c Class C-20 - - , V al: *Contractor Ramay A/C Dote Tlrl•_' 4 , 198 �O •❑ I am exempt under Sec sVir Plan check fee �0831 A N B 8P C for this reason PERMIT ISSUING FEES = Date 0 # e • • • • 8 Signature TOTAL FEE 1 e 1 5 Q 5 0 OWNER BUILDER DECLARATION RAN CHECK APPLICANT e e 1 5Q5,05 1 hereby affirm that I am exempt from the Contractor s License , - Low for the following reason (Section 7G31 5 Business and NAME 1 004,-88 Professions Code) ❑ I as owner of the property, or my employees with ADDRESS wages as their sole compensation will do the work and CITU TEL NO the structure Is not Intended or offered for sale(Section 7044, Business and Professions Code) OWNER Sultana Village Pa ❑ j as owner of the property am exclusively contracting with licensed contractors to cansMAIL the project (Sec • nBusiness 7044 Business and Professionsns C Code) ADDRESS CONSTRUCTION LENDING AGENCY CITY i TEL NO ` I hereby offum that there Is a construction lending agency for , the performance of the work for which this permit is issued CONTRACTOR Rama Air Cond. ` (Sec 3097 Civ C Lender's Name ADDRESS 2645 Lee Ave .`,#4 Lender s Address CIT`" So. El Monte TEL NO 818/350-41 9_ _ STATE LIC I certify that I have'read this application and state that the LICENSE NO - CLASS above Information is correct I agree to comply with all County ` ordinances and State laws relating to building construction and hereby authorize represent ives of this County to enter upon the above nhoned pr rfy for Inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ct. 3 , 1988 S Nre of Ar:P cont or Ageru v Dote ° WORKERS COMPENSATION DECLARAI;ION I Hereby offlrrq that I have a certificate of consent to self , APPLICATION FOR PERMIT / Insure, d a certificate of Workers'Compensation Insurance 6K , HEATING - VENTILATING - AIR CONDITIONING 70A3 or a certified copy thereof (Sec 3800, Lob C ) 818(REV 10/Bl) ' -- - 49;y7N,091-1 Company AmerT can States CE ❑ Certified copy is hereby furnished I COUNTY OF LOS ANGELES BUILDING AND SAFETY IS Certified copy is filed with the county bis ding inspec- FOR APPLICANT TO FILL IN BUILDING Bla 5 5561 Sultana Ave . hon department (PRINT OR TYPE ONLY) ADDRESS g' r Date Ort- 3 - I9*$jjcan, LOCALITY Temple City, Ca . NO TYPE OF APPLIANCE OR EQUIPMENTFEE ' CERTIFICATE OF FXEM ROM WORKERS NEAREST COMPENSATION INSURANCE CROSS ST (This section no"not be Completed R the work Involved by ABSORPTION UNIT BTU DISTRICT No PRORSSED BY the permit Is for one hundred dollars ($100)or lass ) AIR HANDLING UNIT CFM I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws BOILER BTU APPROVALS DAM aR 5 SIGNATURE Dote Applicant COMPRESSOR BTU— 184, 000 8 ,000 ROUGH - NOTICE TO APPLICANT If 'after making this Certificate of VENTILATION SYSTEM FINAL ti Exemption you should become subject to the Workers .. Compensation provisions of the Labor Code, you must forth EVAPORATIVE COOLER VALIDA I N with comply with such provisions or this permit shall be deemed revoked FURNACE FAU X GR ITV LICENSED CONTRACTORS DECLARATION 5 FLOOR BTU OD I hereby affirm that I am licensed under provisions of Chapter 9 HEATER SUSPENDED UNIT_ - Icommencing with Section 7000) of Division 3 of the Business WALL and Professions Code and my license is in full force and effect - r d License Number 374587 LIC Class C-20 , K •Contractor R.dIIld3r lL C: Dote Oct 3 , 19 O ❑ I am exempt under Sec riW Plan check fee d B 8P C for this reason 6111 PERMIT ISSUING FEES d SU Z Date ' TOTAL FEE g I I Q Signature - OWNER-BUILDER DECLARATION RAN CHECK APPLICANT - I hereby affirm That I am exempt from the Contractor s License Low for the following reason (Section 7031 5 Business and NAME pop- • • 1 1 Q5 05 Professions Code) I 4—8 8 El 1, as owner of the property or my employees with ADDRESS _ 00 - wages as their sole compensation will do the work and Off, TEL NO the structure is not intended or offered for sale(Section 7044 Business and Professions Code) OWNER Sultana Village Partners ❑ 1 as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec MAIL hon 7044 Business and Professions Code) ADDRESS CONSTRUCTION LENDING AGENCY CITY - - TEL NO I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued CONTRACTORRamay Air Cond . , (Sec W97 Gv C ) Lender's Noma ADMESS2645 Lee Ave. , -#4 Lender sAddress - - - cITYSo. El Monte TEL NO 818/350-41 9 - - STATE 374587 _ LIc C20 I certify that I hove read this application and state that the LICENSE NO CLASS- - - - -- - _ above information is correct I agree to comply with all County ordinances and State jaws relating to building construction and hereby authorize representatives of this County to enter - upon the above-mento d property Inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Oct. 3, 1988 Signal r o pohcant o,Agent %-I, Dt� `