HomeMy Public PortalAbout10651 HALLWOOD DR_Mechanical__ ItA364 �E8,18 3-69 - - ,
j - APPLICATION FOR PERMIT .
HEATING - VENTILATING AIR CONDITIONING
COUNTY
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILD ND
JOHN A. LAMBIES COUNTY ELNGIINEEER LOCALITY
COLEMAN W..JENKINS,SUPERINTENDENT.OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER t �.
(PRINT OR TYPE ONLY) - MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS r�.,'QQi Fj (G.
ABSORPTION SYSTEM, .BTU CITY Re'-E:�- `�gt' /STEL. N0. q r' d4,fo
AIR HANDLING UNIT, C,FM CONTRACTOR �V lV (�/•
ADDRESS ,
BOILER, HORSEPOWER
CITY ' TEL.,NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO'. CLASS
VENTILATION SYSTEM ,D.ISTRICT.No.. - GROUP - ZONE PROCESSED BY
EVAPORATIVE COOLER '
FURNACE: FAU GRAVITY ss
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL
Q
J - a
v
-NEW_ADDITION_ /PERMIT $ 3 00 Z
ALTER---REPAIR_ TOTAL FEE $ �
PLAN CHECK APPLICANT .
NAME .
ADDRESS
CITY TEL.'NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATETHAT THE ABOVE IS CORRECT AND'AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS ATE SPECTO S 69 NATURE
LATING, AIR CONDITIONING.
1 HEREBY CERTIFY.THAT I AM NOT ACTING IN VIOLATION OF ROUGH Q.
CHAPTER 9, DIVISION 3, OF THE BUSINESS ND PROFESSIONAL FINAL
CODE OF THE V1 OF CALIFO fr
SIGNATURE 1� Afk JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R.
OF PERMITTEE Ijry -
PERMIT VALIDATION cli. M.O. CASH
PLAN CHECK VALIDATION
SEP . '8. 44 `D-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE '