HomeMy Public PortalAbout5332ALESSANDRO AVE_Mechanical 76A364Ef-CE91eB 9/75 APPLICATION FOR PERMIT
i HEATING - VENTILATING - AIR CONDITIONING
v BUILDING AND SAFETY DIVISION
r
e
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS 5332
ALESSANDRU
LOCALITY
NO TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST
0 CROSS ST
ABSORPTION UNIT BTU
OWNER MM, MDERIC
AIR HANDLING UNIT CFM MAIL
ADDRESS SAIV t
BOILER BTU CIT IY TEL NO
285-6362
1 COMPRESSOR BTUIf
CONTRACTOR TRMF HCC
VENTILATION SYSTEM ADDRESS 203 PECK RD
s
EVAPORATIVE COOLER CITY TEWLE CITY TEL NO 579-7989
FURNACE FAUX GRAVITY STATE LIC
1 FLOOR BTU-10C�LroCg imap LICENSE NO 265094 CLASS C-20
HEATER SUSPENDED UNIT_ DISTRICT NO GROUP ZONE PROCEpJED BY �..
WALL ,57' O� /
INSPECTION RECORD CD
t5
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tL
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Plan check fee 25% of above
PERMIT ISSUING FEE $
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS iCORRECT AND AGREETO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENTI
LATING AIR CONDITIONING
I HEREBY CERTIFY THAT I AM NO A TING IN VIOLATION APPROVALS DATE INSPECTORS E
OF CHAPTER 9 DIVISION 3 OF THE BU ES AN PROFESSION
CODE OF THE STATE OF C L FO IA ROUGH
SIGNATURE
51
OF PERMITTEE NAL
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION c M o CASH
1
0 `6v4,,'AUG b 4,1 ' 1 -9.5 a A�;.
wk
1 �
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