HomeMy Public PortalAbout5839 ALESSANDRO AVE_Mechanical__ 78A366E- CE8I8B-9/78
APPLICATION
FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
5839 N. Alessandro
(PRINT OR TYPE ONLY) v�
LOCALITY Temple City
No. TYPE OFAPPLIANCEOR EQUIPMENT FEE NEAREST y
CROSS ST.
AQSORPTION UNIT, BTU
OWNER
AIR HANDLING UNIT, CFM MAIL H. Stark
ADDRESS 623 E. Michelle
BOILER, BTU CITY West Covina TEL. NO.
COMPRESSOR, BTU CONTRACTOR Bryant Heat. & Air Cond Inc
.4
VENTILATION SYSTEM ADDRESS 1350 E. La Tunas
EVAPORATIVE COOLER CITY San Gabriel TEL. No. 286-1141
FURNACE: FAU GRAVITY STATE LIC.
FLOOR- BTU LICENSE NO. 2'21751 CLASS C20
1 HEATER: SUSPENSSFr—UNIT_ ,7 50 DISTRICT NO. GROUP ZONE PROCES D BY
WALL SJ1V1
CD
J-A C.")
INSPECTION RECOR
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Plan check fee 25% of above.
PERMIT ISSUING FEE $ 4 50
TOTAL FEE 12, 00
PLAN CHECK APPLICANT
NAME
ADDRESS
CI TY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALLORDINANCES AND LAWS REGULATING HEATING, VENTI-
LATING, AIR CONDITION I NG.
1 HEREBY CERTIFYf THAT I AM NOT ACTING SIN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DIVISFON 3, OF THE BUSINESS AND ROFESSIONA
CODE OF THE STATE 0 CA IFORNIA. �/{ R (IGH
SIGNATURE
OF PERMITTEE ,1%W�' FINAL
PLAID CHECK VALIDATION CK. o.a„:,,, CASH PERMIT VAI IDATICEN CK. M.O. CASH
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