HomeMy Public PortalAbout9831 OLIVE ST_Mechanical__ 76AG64C4CE-SIB EM-,71/J6 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDIN
(PRINT OR TYPE ONLY) ADDRESG ( )e-� '
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST.
ABSORPTION UNIT.BTU
O�
AIR HANDLING UNIT.CFM M IL
ADDRESS -� n(LU
BOILER.BTU CI TEL.NO.
:l L
COMPRESSOR.BTU
CONTRACTOR yek
;+
VENTILATION SYSTEM ADDRES t 1� tS�
EVAPORATIVE COOLER CITY 5TEL.NO. \ 41¢
J AA
FURNACE: FAU_GRAVITY STATE l' �� 1 �� LIC. J
FLOOR BTU LICENSE NO. CLASS
HEATER: SUSPENDED UNIT- GGDISTRICT NO GROUP ZONE PROCES BY
WALL V✓ O 0 C s C �Q / -
INSPECTION RECORD
IF
Plan check fee 25%of above.
PERMIT ISSUING FEE$
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE T E RETHIS APPLICATION AND
STATE THAT THE ABOVE IS RECT AN AGREADE TO COMPLY WITH ALL
ORDINANCES AND LAWS EGULATING EATIN . VENTILATING. AIR
CONDITIONING.
I HEREBY CERTIFLLY THAT I AM OT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE
CHAPTER 9. DIVISION �F -BUSINE$5 AND OFESSIONAL CODE ROUGH ,
OF THE STATE OF CALIF NIA. fr/)
SIGNATURE FINAL p�
OFPERMITTEE MI^\
PLAN CHECK VALIDATION .o. CASH PERMIT VALIDATIONCK 1 M.O. CASH
CJ '
- 00044 824E-w,APR 1041 U 27.00aL-'
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