HomeMy Public PortalAbout9629 BLACKLEY ST_Mechanical__ 76A364E �aim 9/75 - - APPLICATIONIOR PERMIT h! c.le- 0
�'. HEAT,IRG - NERTILATIR.G - AIR CONDITIONING
BUILDING D SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING '
(PRINT OR TYPE ONLY) ADDRESS 9629 Blackley.
LOCALITY Temple Cit
No. TYPE OF APPLIANCE OR EQUIPMENT FEE
- NEAREST
'CROSS S
ABSORPTION" UNIT, BTU
OWNER Harry S erard
A,IR HANDLING UNIT, CFM MAIL
ADDRESS 9629 Blackley
BOILEf2, BTU CITY Temple City TEL. NO. 286-91686
1 COMPRESSOR, BTU 3-ton , 7 50 CONTRACTORy
Br ant Heat & Air Cond Inc
VENTILATION SYSTEM ADDRESS ,1350 E. Las Tunas Drive '
EVAPORATIVE COOLER CITY Sari Gabriel TEL. NO, `L86-1141•", t
FURNACE: FAU X GR xx{��TrtRY STATE' LIC., '
FLOOR' BTU �G1V1 7 50 LICENSE NO. 22.751 CLASS C20 `
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP ZONE PROCESSED BYr"
WALL
O
INSPECTION RECORD
U
' W
4t A 3,-27_--7 1 tZoDgmuo, z
Plan check fee 25% of above."
PERMIT ISSUING FEE $ 4150
TOTAL FEE 1 19 5'0
PLAN CHECK APPLICANT
-NAME
ADDRESS
CITY 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 _ -
I HEREBY CERTIFY 7 AT AM NOT ACT I IOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DI ESIO OF THE BUSINESS AND FESS'IONAL ROUGH '
CODE OF THE STATE OF 'OF
NIA `I
`SIGNATURE /r /P/ -
OF PERMITTEE (: '-'•� �'�' FINAL -
C
PLAN CHECK VALIDATION K, .0. �H PERMIT'VALIDATf'ON cK. ' MO:' CASH, _
- CASH