Loading...
HomeMy Public PortalAbout5727 ALESSANDRO AVE_Mechanical__ + - v 'e"';;E �EB'BB sr5 APPL ATION FOR PPRMIT HEATING - VENTILATING - AIR CONDITIONING i BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN t BUILDING ADDRESS e nCara (PRINT OR TYPE ONLY) LOCALITY ", C4-d , NO TYPE OFAPPLIANCEOR EQUIPMENT FEE NEAREST CROSS ST ba)rA mato ABSORPTION UNIT BTU OWNER � W� ler AIR HANDLING UNIT CFM MAIL r ADDRESS BOILER BTU CITY n 'l TEL NO�Q1,_ �f'4/ e t... T v COMPRESSOR' BTU CONTRACTOR)j l R COWp�" r H�- 5 Y1f[� VENTILATION SYSTEM ADDRESS !, /1 EVAPORATIVE COOLER CITY C, V TEL NO a 255FURNA -lSTATE LIC ^a�a FLOORCE FAU VIGBTU�� V LICENSE NO . l�f DU CLASS C-.W HEATER SUSPENDED UNIT_ DISTRICT NO GROUP OONE SSED BY y WALL t INSPECTION RECORD Imo) v W IL N Z Plan check fee 25% of above " { PERMIT ISSUING FEE $ TOTAL FEE C� PLAN CHECK APPLICANT f } � NAME ADDRESS ° 9 CITY TEL NO Y I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALLORDINANCES AND LAWS REGULATING HEATING VENTI LATING AIR CONDITIONING r A IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION APPROVALS DATE INSPECTOR S SIGNATURE OF CHAPTER 9 DIVISI OF THE BUS NESS AND PROFESSIONAL ROUGH CODE OFNA T THE STATE C LI 0 NIA 49 OF 'OF PERMITTEE (/'_ `�`' FINAL PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK M O CASH f r 4 9,8°AUG 5 41 0 1 2.0 0 t -