HomeMy Public PortalAbout4949 AGNES AVE_Mechanical_8/11/1979 � o
76A364E CE6169 975 APPLICATION FOR PERMIT
HEATING !VENTILATING - AIR CONDITIONING
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BUILDING AND SAFETY DIVISIO � `G
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FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS
LOCALITYTEpTu w
NO TYPE OFAPPLIANCEOR EQUIPMENT FEE NEAREST
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ABSORPTION UNIT BTU OWNER WMERT7 E.AM
AIR HANDLING UNIT CFM MAIL
ADDRESS SAME'
BOILER BTU CITY ljEjfjE CITY TEL NO 287-2793
1 COMPRESSOR BTU 5 1 UP7 50 CONTRACTOR TRAM
HCC
VENTILATION SYSTEM ADDRESS 2034 N PECK RD
EVAPORATIVE COOLER CITY S EL TEL NO 579-7982
FURNACE FAUGRAVITY STATE 1AJlVli+ LIC
1 FLOOR BTU 100 000 7 50 LICENSE NO 265094 CLASS -2 }
HEATER SUSPENDED UNIT_ DISTRICT NO GROUP ZONE CESSED BY 5
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INSPECTION RECORD w
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Plan check fee 25% of above
PERMIT ISSUING FEE $ 4150
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TOTAL FEE 1 19150
PLAN CHECK APPLICANT
NAME 4
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ADDRESS-
CITY
DDRESS-CITY TEL NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT ANOtAGREE TO COMPLY —
WITH ALL ORDINANCES AND LAWS REGULATING sHEATING VENTI
LAITING /AIRkCONOITIONING -+
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION APPROVALS DATE INSPECTOR S SIGNATURE
OF CHAPTER 9 DIVISION 3 OF THE BUS S AND PROFESSION
CODE OF THE STATE OF A IF NIA ROUGH
SIGNATURE ' r
OF PERMITTEE __F)NAL >
PLAN CHECK VALIDA ION cK M o CASH
PERMIT VALIDAT-10fi CE M o r CASH
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