HomeMy Public PortalAbout5317 FARAGO AVE_Mechanical__ 76A364i. CIE518B 9/75 APPLICATION FOR PERMIT
HEATING VENTILATING AIR CONDITIONING
BUILDING AND SAFETY DIVISION t
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
(PRINT OR TYPE ONLY)
LOCALITYO
NO TYPE OFAPPLIANCEOR EQUIPMENT FEE NEAREST
CROSS ST
ABSORPTION UNIT BTU Z2
OWNER
AIR HANDLING UNIT CFM MAIL
ADDRESS /'� ?
801L�1� BTU CITY TEL NO ! d�
COMPRESSOR BTU-�Vlo - CONTRACTOR &IFi
VENTILATION SYSTEM ADDRESS
EVAPORATIVE CO?L,,ER CIT TEL NO � /
FURNACE FAU V GRAVIT STATE LIC /2
FLOOR BTU f LICENSE NO CLASSU
HEATER SUSPENDED UNIT_ DISTRICT No GROUP ZONE PRO SED BY G'
y WALL �� -fie/ / 't ""' >L
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INSPECTION RECORD w
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Plan che?k fee 25% of above
PERMIT ISSUING FEE $
TOTAL FEE
PLAN CHECK APPLICANT
a
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGETHAT I HAVE READ THIS APPLICATION ,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENT] e
LATING AIR CONDITIONING
I HEREBY CERTIFY TH I AM NOT ACTING IN VIOLATION APPROVALS DATE INSPECTOR S SIGNATURE
OF CHAPTER 9 DIVISION F THE SINESS AND PROFESSIONAL
CODE OF THE STATE OF AL RN ROUGH
LO�FF
NATURE
PERMITTEE v FINAL k1161?*
PLAN CHECK ALIDATIO cK M o CASH PERMIT VALIDATION cK M o CASH
s
Al
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