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HomeMy Public PortalAbout10152 LYNROSE ST_Mechanical__ 76A364C(CE-8188)-11/76 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING BUIL" G AND SAFETY D S ON FOR APPLICANT TO FILL IN BUILDING 10152 LYNROSE ST. (PRINT OR TYPE ONLY) - ADDRESS LOCALITY '+ G'I NO TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST /( s CROSS ST ��1yY�1 1-��`���/T•dray' ABSORPTION UNIT,BTU OWNER �1VNY DAVl] , AIR HANDLING UNIT,CFM MAIL A7�, ADDRESS A11E BOILER,BTU CITY TEk,117IE CITY TEL HCC/TEL NO 799-7101 1 COMPRESSOR,BTU 3 STD 7 50 CONTRACTOR ll�L•iIV.G HCC �• VENTILATION SYSTEM ADDRESS 2034 N. PECK RD. EVAPORATIVE COOLERInnI CITY . SEL FURNATEL NO 9 79 - 1 FLOOR BTU FAU BTUGR�LIl 7 50 LICENSE NO 265094 C ASS I OC-20 HEATER SUSPENDED UNIT— DISTRICT NO GROUP ZONE R -ESSED BdG _ WALL INSPECTION RECO D A V ad O Plan check fee 25% of above PERMIT ISSUING FEE$ 4 -50 Z TOTAL FEE 19 50 PLAN CHECK APPLICANT - NAME ADDRESS CITY TEL NO IHEREBY 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 TING IN VIOLATION OF APPROVALS DATE INSPECTOR S SIGN RE CHAPTER 9, DIVISION 3, OR" INE A D P OFESSIONAL CO At- ROUGH OF THE STATE OF CALIFOR SIGNATURE FINAL OF SIG= RMITTE PLAN CHECK VALIDAT N CK No CASH PERMIT VALIDATION CK n10 CASH WORKERS COMPENSAT16N . _ 1 ^j're a1 4to 9 p - POLICY HOLDER: y� LL � POLICY NUMBER: ©S