HomeMy Public PortalAbout9672 OLIVE ST_Mechanical__ 7GA36l%Z CE>s:,Be-9/79 APPLICATION 'FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL INa�oREss 4 r, ( Ili ,`�T�
(PRINT OR TYPE ONLY)
NO. TYPE OF APPLIANCE OR,EQUIPMENT FEE LOCALITY
NEAREST ;;,2�
CROSS ST. Z3 P,
ABSORPTION UNIT, BTU t
OWNER V @ F'1
AIR HANDLING UNIT, CFM MAIL f 7 I �.
ADDRESS 4� G 1}!G
BOILER, BTU CITY TEL. NO.
—r,s5 ,� c I1 ' sic -4/70r
COMPRESSOR, BTU CONTRACTOR
VENTILATION SYSTEM ADDRESS
,EVAPORATIVE COOLER CITY TEL. NO.
FURNACE: FAU_GRAVITY STATE LIC.
FLOOR. BTU LICENSE NO. CLASS
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP ZONE ;R. 6SED BY y,
WALL
0 8 p-1
INSPECTION REC R
v
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c:
Plan check fee 25% of above.
PERMIT ISSUING FEE,$ "
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCESAND LAWS REGULATING HEATING, VENTI-
LATING, AIR CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF,
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL ROUGH —0�77 /
CODE OF THE SjATE CAL ORNIA. L
SIGNATURE. �/ � U FINAL
OF PERMITTEE -�C�i/
PLAN CHNC VALIDATION PERMIT VALI A ION CK. M.0. CASH
CK. M.O. LASH
3 1 9L-JAN 25 41 D a 1 2.0 0 ,&-.