HomeMy Public PortalAbout5344 PARMERTON AVE_Mechanical__ 7SA364C (CE-BI 407 APp" ATION FOR_ PEKAAIT
HEATING-- VENTILATING - AIR' CONDITIONING
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BUILDING AND SAFETY DIVISION u. I
FOR APPLICANT TO FILL IN BUILDING 5344 parme'rton A"ve . '
' (PRINT OR TYPE ONLYP ADDRESS `
LOCALITY Temple City
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
• CROSS ST �Ct•"�a�ci'✓
ABSORPTION UNIT BTU ,
OWNER Henry Martne z
AIR HANDLING UNIT CFM AMA L DDRESS 5344 Parmerton •Ave"
BOILER era CITYTemple' City • TEL NO 443-5975 ;
COMPRESSOR BTU CONTRACTORXXJft ` Universal Plumtiin
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VENTILATION SYSTEM ADDRESS
26 1 I4 e e_Ave-.
EVAPORATIVE COOLER CITYSO . el Monte -TEL NO 575-3460
FURNACE FAU_GRAVITY' STATE ., LIC
FLOOR BTU LICENSE NO 316018 CLASS C36&20
HEATER WA9PEL Na-C� __ NIT_ 000DISiHIci ND GROUP LONE PROCESSt BY O
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INSPECTION RECORD O
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Plan check fee 25% of above — s
PERMIT ISSUING FEE$ O tI
PLAN CHECK APPLICANT
NAME y' ' • - " ' ,
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 VENTILATING ,AIR '
CONDITIONING
I HEREBY CERTIFY TH I AM NOT ACTING IN VIOLATION OF k'. APPROVALS DATE INSPECTOR 5 SIGNATURE -
CHAPTER B DIVIROUGH
RE
VISION 3 OF E BUSINE` AND PROFESSIONAL CODE '
OF THE STATE OF CALIFOR' > —
SIGNATU
FINAL
OF PERMITTE
PLAN CHECK VALIDATION CA MO CASH PERMIT VAUDATI cA Mo cis.
WORKERS COMPENSATIbN
,s7 9 2JUN V 4,.1
POLICY HOLDER:,
POLICY NUMBER f(f/Pi�
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