HomeMy Public PortalAbout5143 FRATUS DR_Mechanical__ 78A3&1E (E810113-9/73 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY
NO TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST
CROSS ST
ABSORPTION UNIT, BTU
OWNER
AIR HANDLING UNIT, CFM MAIL i
ADDRESS
BOILER, BTU CITY TEL NO
COMPRESSOR, BTU B6
CONTRALTO
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOL5pl CITYTEL NFURNAO /
FLOOR-BTU--,5k?
FAU BTU RA Y G17 LICENSE NO LIC
CLASS
HEATER SUSPENDED UNIT_ DISTRICT NO GROUP ZONE SED BY
WALL 1.
INSPECTION RECORD CD
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Plan check fee 25% of above
PERMIT ISSUING FEE $
TOTAL FEE A(�
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 CERT Y AT I AM OT ACTING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9 DI SIGN OF THE S ESS AND PROFESSIONAL
CODE OF THE STA E OF C RNIA ROUGH
SIGNATURE
OF PERMITTE FINAL
PLAN CHEC VALID TION PERMIT VALIDATION CK M o CASH
CK M 0 CASH _
O o N :t:t�
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