HomeMy Public PortalAbout6244 HART AVE_Mechanical__ 76A384E- CEB,BB-8/75 APPLICATION FOR PERMIT: ,
PLEATING - !VENTILATING AIR CONOITIONING
BUILDING AND SAFETY DIVISION'
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS
Au
LOCALITY ('.
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE NEAREST �IVC���.. /
CROSS ST, L f�9l�l
ABSORPTION UNIT, BTU q�/� ,� �//���`, p�,
OWNER U CaiSTE eP/ - i. IVA-gj6 1 ILt uj
AIR HANDLING UNIT, CFM �ON 7,5'0 MAIL -1,(
ADDRESS
7 .
BOILER, BTU .�- 'A�t P�//��L /�
CITY' E7yK S Ca l L. NO. �O(D OZ6 Z
COMPRESSOR, BTU CONTRACTOR
VENTILATION SYSTEM ADDRESS ,;k_ f �
EVAPORATIVE COOR CITY '7p[, L°Ir}fiEL. NO. o�
FURNACE: FAU V GRAVITY STATE LIC,
FLOOR BTU IoO,000
-7.5710 LICENSE NO. CLASS
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP ZONE PROCE ED BY
WALL
'INSPECT.ION RECO CD
v
a
N
' Z
Plan check fee 25% of above.
PERMIT ISSUING FEE $
TOTAL FEE'
PLAN CH�E`C/KAP�PgLIICCANT /�
NAME Kl&sj
ADDRESS /�� 2 l p/
CITY" eri1PC,E Cf'( TEL.NO.O�dIO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIO
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
WITH ALLORDINANCES AND LAWS REGULATING HEATING, VENTI-
LATING, AIR-CONDITIONING.
IHEREBY CERTIFY THAT. I AM NOT ACTING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL ROUGH
CODE OF THE STATE F. ALIFORNIA. - �,rp1
SIGNATURE / "�. 0 �, .
OF PERMITTEE L�C-d INAL
PLAN CHECK VALIDATION CK. M.O. C SH ERMIT VALIDATION GK. M.O. CASH
94 `:l NIAv 18.41 1 9.50 ��3