HomeMy Public PortalAbout5038 CLOVERLY AVE_Mechanical__ 76A"`E -'QHB,Y® 9/75 APPLICATION FOR PERMIT
' HEATING - VENTILATINIG',- AIR CONDITIONING
BUILDING AND SAFETY`DIVISION
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F R APPL CANT TO FILL IN BUILDING "
(PRYNT OR TYPE ONL+Y),
ADDRESS, 5038 C IQVerly
NO YPEpFAPPL'IANCEOR EQUIPMENT FEE LOCALITY Tem le'Clt� a,
NEAREST
r CROSS ST Qom,
ABSORPTION UNIT, BTU t e
OWNER ' I''erran
AIR HANDLING UNIT,'CFM + AMAIL
DDRESS .,5038 Cloverly
�1' BOILER, BMTU —
1 . 1CITY Temple City TEL NO 286-8675',
COMPRESSOR, 8T6 -- I
CONTRACTOR Bryant Heat. & Aix Cord,-.- Inc.
VENTILATION SYSTEM' ADDRESS 1350 E. Las Tunas Drive` 4
EVAPORATIVE COOLER CITY et TEL NO"
San Gabriel
_1 FURNACE FAU ` GRj° }}Q�TY STATE „� - LIC —
FLQOR BTU ' VIV� 1 25 LICENSE NO 221"751 CLASS C2Q C
HEATER ,SUSPENDED UNIT_ DISTRICT NO GROUP
ZONE PROCESSE Y �,
WALL ' A
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INSPECTION RECORD, T A - v
Plan,check fee 25% of above
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PERMfl ISSUING FEE $ 4 50
TOTAL FEE
15175 '
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PLAN CHECK APPLICANT
NAME ,+
ADDRESS
4'
CITY a TEL'NO u,
I'HEREBY ACKNOWLEDGE THATkI HAVE READ THIS„APPLICATION [ROUGH
AND STATE THAT-THEABOVE IS CORRECT AND AGREE,TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI-LATING, AIR CONDITIONING 1
I HEREBY CER. F THAT I AM NOT ACTING IN VIOLATIONAPPROVALS DATE, INSPECTOR S SIGNATURE
OF CHAPTER 9, DI�IBIO 3 OF THE BUSINESS ROFESSIONAL
COOE`OF THE STATE CALIFORNIA +
SIGNATURE FINAL
OF PERMITT
PLAN CHECK VALIDATION 24 PERMIT VALID ON cK M 0 CASH
CK 1 M O CASH r,
3 G 6�JhN,'�� 4 1, 1 5.75 A