HomeMy Public PortalAbout9744 CRAIGLEE ST_Mechanical__ 76A36,i E`«I.,Ils%-.9,Ts. _ APPLICATION �'OR P�RHN LT . J. - '
HEATING - VENITILATINt - AIR CONDITIONING
BUILDING"AND SAFETY DIVISION!
FOR-"APPLICANT TO FILL IN BUILDING
"(PRINT OR TYPE ONLY) .. ADDRESS
LOCALITY '
NO. TY,PEOFAPPLIA'NCEOR EQrUIPMENT FEE
NEAREST
CROSS ST.
ABSORPTION'UNI'T, BTU
OWNER
AIR HANDLING UNIT; CFM MAIL
ADDRESS
BO1,LE.R, BTU CITY TEL O
COMPRESSOR, BTU ;CONTRACT;O 1"
VENTI"LATION-SYSTEM;" ADDRESS D
EVAPORATIVE COO ER C,ITY' TEC.'NO
FURNACE: FAU AY GRY. �/ STATE /� LIC.
FLOOR BTU LICENSE NO. p CLASS�fX/
HEATER: SUSPENDED UNIT_ DI STR ICT.NO. GROUP ZONE PROCESSED BY: ,
WALL
0
U
INSPECTION"RECORD
G-
N
Z
Plan check fee 25% of above:.
PERMIT"ISSUING FEE $ ,
TOTAL FEE'
PLAN CHECK "APPLICANT,
NAME
A DDRESS
CITY TEL:NO
I HEREBY ACKNOWLEDGE THAT IHAVE READ"THIS APPLICATION
ANO STATE THAT THE, ABOVE ,IS•CORRECT AND,AG,REE TO COMPLY
WITH ALL ORDINANCES AND LAWS'REGULATING HEATING, VENT-I -
LATING, AIR CONDITIONING.. - -
HEREBY CERTI WXTA NO ACTING IN •VIOLATION APPROVALS -DATE IN PE TR'S SIGNATURE'
OF CHAPTER.9; DIVIION BUNE ANDlPROFESSIONALROUGH-CODE OF THE STATE OF 04 11 ++
SIGNATURE �- 6
OF PERMITTEE FINAL) f _S�•" `'retkS.dJ Vl✓'�=�°'"""'
PLAN CHFiC p®•_ALI- /ATION K•- M.O. CASH
PERMIT VALIDATION CK. t/-'/. 0. CASH
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