HomeMy Public PortalAbout9840 MILOANN ST_Mechanical__ 78A984E CE818B-'9/7s SLI ION- R PEPER .
HEATING - VENT ATING• -'AIR CONDITIONING
BUILDING'AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING /
(PRINT OR TYPE ONLY) ADDRESS A, f!j
LOCALITY
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE NEAREST
CROSS S.T. fu A,471,
ABSORPTION UNIT, BTU
OWNER
AIR HANDLING UNIT; CFM .. MAIL -
ADDRESS
BOILER, BTU CITY TEL. NO -1
COMPRESSOR, BTU X20-DAV-
CONTRACTOR
VENTILATION-SYSTEM ADDRESS
EVAPORATIVE COOLER CITY 11T. VU TEL. NO.
FURNACE: FAU_GRAVITY STATE LIC.
FLOOR BTU LICENSE NO. CLASS
HEATER: SUSPENDED' UNIT_ DISTRICT NO. GROUP20NEJOSSEDBY WALL O
Q � v
INSPECTION RECORD v
C-
Ca
Plan check fee 25%'of above.
PERMIT ISSUING FEE $
TOTAL FEE 17 .
PLAN CHECK APPLICANT
NAME
.ADDRESS
CITY TEL.N.O.
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 '
I HEREBY CERTIFY THAT I AM NOT TING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DIVISION 3, OF THE BU NESS D PROFESSIONAL, - -
CODE OF THE STA OF CALIF A. ROUGH - -
SIGNATURE
OF PERMITTEE FINAL
PLAN CHECK VALIDATION PERMIT VALIDATION: CK. M.O- CASH
CK. M.O. CASH