HomeMy Public PortalAbout9442 PENTLAND ST_Mechanical__ APPLICATION FOR PERMIT
HEATING: VENTILATING - AIR CONDITIONING,
BUILDING AND SAFETYIDIVISION
' FOR APPLICANT TO FILL IN 4, BUILDING
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` (PRINT OR TYPE ONLY)
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NO YPEOFAPPLIANCEOR EQUIPMENT FEE NEAREST a
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ABSORPTION UNIT, BTU }-
OWNER H��. S IYOV SG
AIR HANDLING UNIT CFM MAIL
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BOILER BTU
CITY TEL NO
COMPRESSOR, BTU CONTRACTOR Fj.l- fdJG COA1�AT
VENTILATION SYSTEM 'ADDRESS _2 't b .TSI9 E
EVAPORATIVE COOLER CITY avT TEL NO
FURNACE FAU_GRAVITY STATE /p LIC
FLOOR BTU I LICENSE NO I ( (J 'I CLASS
HEATER SUSPENDED UNIT_ So DISTRICT NO cnouP zONE RB OCESSED BY o
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Plan check fee 25% of above
PERMIT ISSUING FEEJC
0
TOTAL FEE, 00
PLAN CHECK APPLICANTI
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NAME
ADDRESS 6 Cf jOA
CITY ` TEL NO - '
I HEREBY ACKNOWLEDGE THAT I HAVE HEAD TTION
AND STATE THAT THE ABOVE U CORRECT AND APLY
WITH ALL ORDINANCES AND LAWS REGULATING ENTI - I i 1
LATING AIR CONO ITIONINO -
I HEREBY CERTIFY THAT I AM NOT ACTITION APPROVALS DATE IN°RECTOR S SIGNATURE
OF CHAPTER 9 DIVISION 3 OF THE BUSINESS ANONALCOON OF THE STATE O ORNIA , ROUC3 SIGNATURE �X
OF PERMITTEE FINAL ���
PLAN CHECK VALIDATION cn M 0 CASH PERM T VALIDATION cx M 0 CASH
3 6 9 2.0 0 Abd