HomeMy Public PortalAbout4843 KAUFFMAN AVE_Mechanical__ 76A366E -,,CE818®-975 �FOR'
PI: T
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION ('
FOR APPLICANT TO FILL IN BUILDING Kauffman Ave.
(PRINT OR TYPE ONLY) ADDRESS
NO. TYPE OFAPPLIANCE OR EQUIPMENT FEE LOCALITY. Tem le Cit
NEAREST
CROSS ST. ,A U d
ABSORPTION UNIT, BTU OWNER J. B. Weber
AIR HANDLING UNIT, CF MAIL
ADDRESS 5926 Temple City, Blvd.
BOILER, BTU , CITY
Temple City TEL. NO. 286-2818
COMPRESSOR, BTU � CONTRACTOR David L. Peacock, Inc.
ir
VENTILATION SYSTEM ADDRESS 124 Wheeler
EVAPORATIVE COOLER CITY Arcadia TEL. NO.
FURNACE: FAUGRAVITYSTAT
E 287502 LIC. C-20
FLOOR BTU' LICENSE NO. CLASS
r
HEATER: SUSPENDED UNIT_ DISTRICT NO, GROUP �jNEE OCESSED B_WALL V
( c
O
I—
INSPECTION RECORD C_')
w
a
Z
Plan check fee 25% of above.
PERMIT ISSUING FEE $
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
Cl TY 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. - -
1 HEREBY CERTIFY AT I AM NOT ACTING IN VIOLATION APPROVALS DATE -INSPECTOR'S SIGNATURE
OF CHAPTER 9, DIVISI N 3 OF THE BUSINESS AND PROFESSIONAL
CODE OF THE STATE CA IFORNI A. ROUGH
SIGNATURE
t
OF PERMITTE- FINAL
PLAN CHECK VALIDATION PERMIT V�1LlDATION cK. M.D. CASH
-
PLAN M.O. CASH
p � 6�