HomeMy Public PortalAbout4930 ARDEN DR_Mechanical__ 75A364E- CEBIB6-9/75 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS 4930 LM
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'LOCALITY
NO, TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST
CROSS ST.
N' ABSORPTION UNIT, BTU
OWNER YAMAS,AKI y JOSE
AIR HANDLING UNIT, CFM MAIL
ADDRESS SAME
BOILER, BTU CITYTEL. NO.
TEMPLE CITY . 444-019
1 COMPRESSOR, BTU_ �TTD 7 ,50 CONTRACTOR � jJCC,
579
VENTILATION SYSTEM ADDRESS 2034 N. PECK RD.
EVAPORATIVE COOLER CITY TEL. NO.
FURNACE: FAUGRAVITY STATE LIC.
1 FLOOR BTU 100000 7 50 LICENSE NO. CLASS
d
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP ZONE PROLE SED BY O
WALL
O
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INSPECTION RECORD
W
N
Z
Plan check fee 25% of above.
PERMIT ISSUING FEE $ 4 50
TOTAL FEE 19 50
PLAN CHECK APPLICANT
NAME
ADDRESS
Cl TY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI-
LATING, AIR CONDITIONING.
HEREBY CERTIFY THAT I AM NOT AC ING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DIVISION 3, OF THE BUSINES N PROFESSIONAL /! )
CODE OF THE STATE OF CALIFORNI ROUGH �`
SIGNATURE FINAL
OF PERMITTEE a
PLAN CHECK VALIDAT[CfN CK. M.0. CASH MIT VALIDATION cK. 'M.o. cnsH
.0
1: 8:,q= MAR_ 16- 4- 19.5::3;,:..