HomeMy Public PortalAbout9212 OLIVE ST_Mechanical__ 76" aE-CE8106'9i78 APPLICATION FOR PERMIT _
HEATING - VENTILATING - AIR CONDITIONING
BUILDINGANAFETY IVISSIOj J
FOR APPLICANT TO FILL IN BUILDING
ADDRESS,
(PRINT OR TYPE ONLY)
LOCALITY
N.O. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST
CROSS ST.
ABSORPTION UNIT, BTU
OWNER ��.v ,4ds6.�
AIR HANDLING UNIT, CFM MAIL
ADDRESS �iB At-oi5
BOI-LER, BTU CITY TEL. NO.
COMPRESSOR, 6TU CONTRACTOR �'JC� j�
VENTILATION SYSTEM ADDRESS-
EVAPORATIVE COOLER CITY xx_G�2t;,/sB TEL. NO. OW27r�p
J FURNACE: FAU_GRA ITY STATE LIC.
/ FLOOR' • BTU S� LICENSE NO. Z�q �+� CLASS
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUPNE ESSED BY
WALL
2 4�6
08 f
INSPECTION RECORD
• W
' CAI
Plan check fee 25% of above.
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS'
CITY TEL.NO,
1 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
I HEREBY CERTIFY THAT' I AM NOT ACTING IN VIOLATION APPROVALS DATE- INSPECTOR'S SIGNATURE
OF CHAPTER 9, DIVISION 3, 0 E iEBB AND PROF SSIONAL
CODE OF THE STATE OF CA NI ROUGH- - ,
SIGNATURE'
OF PERMITTE-E FINAL
PLAN CHECK VALIDATION PERMIT VALIDATION M.o. cases
CK. M:O. CASH
o.::g 9.f--DG ,: 41- ®- 1-:9.5'4 dtf-
eepV6�