HomeMy Public PortalAbout9712-9714 LONGDEN AVE_Mechanical__ 78A384Cj1FE-81813)-9/77 �`• APPUCATDO�II FOR PERMIT
HEAT OUNG VENTILATING - ADR CONDITIONING
B LDING AND SAFE IVISION
FOR APPLICANT TO FILL IN BUILDING • 9712 ,9?14 Longden
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY TeMP18, City
''NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST.
ABSORPTION UNIT,BTU
OWNER We •De - cpment
AIR HANDLING UNIT;CFM AMAIL
DDRESS 26 Tem le Ci
ty
BOILER,BTU '
CITY
e� Temple le 'Ci TEL.NO: 286®2'818
Z COMPRESSOR,BTU 7 Tin 20-00 CONTRACTOR AlIU'is Heating'& A/C Ine.
VENTILATION SYSTEM ADDRESS 2564 Maynard Drive
EVAPORATIVE COOLER CITY Duan a TEL.NO.258ft6851
FURNACE: FAU-G IT 20.00 L CAE STATE E "" ' 34'9239 CLASS Cm20
Z FLOOR EITU bdo
HEATER: SUSPENDED UNIT- DISTRICTNO. GROUP ZONECESSED BY
WALL
Upright Fuxnace' rA
INSPECTION RECORD
Pian check fee 25%of above.
IL
PERMIT ISSUING FEE 00 0
TOTAL FEE 147-00
PLAN CHECK APPLICANT
NAME
ADDRESS +
CITY TEL.Na.
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, VENTILATING, AIR
CONDITIONING.
I HEREBY CERTIFY-THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTORS SIGNATURE
CHAPTER9, DIVISION 3, OF THE BUSINESS D PROFESSIONAL CODE
OF THE STATE OF IF RNIA. ROUGH
SIGNATURE FINAL .D- -2
OF PE RM ITT
PLAUCHECK VALIDAATIcm CK. _ M.O. CASH
'PERMIT VALIDATION CK. M.O. cases
C� / ° ° O No
CA
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