HomeMy Public PortalAbout6267 AVON AVE_HVAC_9/21/1976_Boiler 76A364E- C17616B-975 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING �I
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS / la
LOCALITY
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE NEAREST
z.; CROSS ST.
ABSORPTION UNIT, BTU
OWNER v
i
_ AIR HANDLING UNIT, CFM MAIL
ADDRESS
BOILER, BTU CITY TEL. NO.
COMPRESSOR, BTU CONTRACT
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY L. NO.
FURNACE: FAUGRAVITY STATELIC.
FLOOR BTU LICENSE NO. CLASS
�r
r
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP z NE PRO SSED BY a
O
,g WALL I✓ O p n
CJ
GJ O
I--
INSPECTION REC D w
tL
Z
61)
Plan check fee 25% of above.
PERMIT ISSUING FEE $ �--
TOTAL FEE 7 '
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY AC KNOW LEDG AT 1 H VE REA HIS APPLICATION
AND STATE THAT THE VE IS COR ECT AN REE TO COMPLY
WITH ALL ORD INANC AND LAWS EGULAT NG HEATING, VENTI-
LATING, AIR CONDI ONING.
I HEREBY ER FY AT I AM NOT C ING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER D N 3, OF HE BUST S AND PRO SIONAL
CODE OF TH S E OF CAC O IA. ROUGH
OF PEIGNAU ` FINAL .. ���Av`�
OF PE TEE
PLAN CHECK VALIDATION PERMIT VALIDATION CK. M.O. CASH S
C M.O. CASH
2::7SrSF'' 21415.75A98