HomeMy Public PortalAbout9745 CRAIGLEE ST_Mechanical__ 76R384E '+@T81,86-9/75 Y APPLICATION FOR PERMIT
• HEATING = VENTILATING - AIR-CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
(PRINT OR TYPE ONLY)
LOCALITY
NO. TYPE 0FAPPLIANCE OR.EQUIPMENT FEE NEAREST
CROSS ST.
ABSORPTION UNIT, BTU
OWNER
AIR HANDLING UNIT, CFM MAIL
ADDRESS
BOILER., BTU �./ /f� �y-i
CITY / TEL. NO. f/ (O/7,,
COMPRESSOR, BTU 1019 CONTRACTOR _
VENTILATION SYSTEM ADDRESS, U .
EVAPORATIVE COOL CITY EL. NO.
11 T
/ FURNACE: F A U K GR IT �� STATE LI
FLOOR BTU LICENSE NO. CLASS.
HEATER: SUSPENDED UNIT_ DISTRICT
NO. GROUP ZONE PROCESSED BY
WALL c�
INSPECTION RECORD
' W
G-
H
Z
Plan check fee 25%'6f above.
PERMIT ISSUING FEE $
TOTAL'FEE109d
PLAN CHECK APPLICANT
NAME
ADDRESS,
CITY TEL.NO.
1 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, VENT]- -
LATING, AIR CONDITIONING. -
I HEREBY 'CERTIFWHATI�l' OT ACTING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DIVISISI NESS AND PROFESSIONAL ROUGHCODE OF THE STATE SIGNATURE _ %4 wlIF-1'"OF PERMITTEEFINAL
PLAN .CHECK ALIDATION CK. M.O. CASH PERMIT VALIDATION ;K M.O. cnsH
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