HomeMy Public PortalAbout5646 MCCULLOCH AVE_Mechanical__ 7GA364E-gg8188-9/73 APOLIIC.ATION' FOR -PERMIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
APPLICANT TO FILL IN BUILDING rA to
(PRINT OR TYPE ONLY) ADDRESS V
7FOR
PE OFAPPLIANCEOR EQUIPMENT FEE. LOCALITY C/
NEAREST
CROSS ST.
ABSORPTION UNIT, BTU
OWNER In
AIR HANDLING.UNIT, CFM MAIL
ADDRESSAl C
BOILER, BTU CITY-J-0
I TEL. NO.
COMPRESSOR, BTU Q CONTRACTO r+� C -
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY TEL. NO. _-jib /g
FURNAC ALI JTY STATE' LIC. /� ��►►ff''��
FLOOR BTU LICENSE NO. CLASS ` 'UV
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP ZONE PROCES D BY
WALL o-
9" JIM
INSPECTION RECOR
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Plan check fee 25%of above.
PERMIT ISSUING FEE $ d
TOTAL FEE_ �'—
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY 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.
I HEREBY CERTIFY THAT I AM NOT ACTING I OLA IO.N APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AN P OFESSIONAL -
CODE OF THE STAT OF I ORNIA. ROUGH
SIGNATURE FINAL
OF PERMITTEE -
PLAN CHECK,VALIDATIO cK. M.O. CASH PERM17° VALIDATION CK: M.O. CASH
1 9.5 0:A98