HomeMy Public PortalAbout9135 PRIMROSE AVE_Mechanical__ T5"a..E;`'="BB"°/'S APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING u
BUILDING A'N.1� SAFETY DIVISION
FABSORPTION
APPLICANT TO FILL IN BUILDING
ADDRESS 9135 ancho Real Rd .
(PRINT OR TYPE ONLY)
LOCALITY Temple Cit
FAPPLIANCEOR EQUIPMENT FEE
NEAREST
CROSS ST.
UNIT, BTU
OWNER Marvin Stlstad
NDLING UNIT, CFM MAIL
ADDRESS same
, BTU CITY TEL. No- 287-6872
COMPRESSOR, BTU CONTRACTOR Ben Walker Plumbing &HTG
VENTILATION SYSTEM ADDRESS 629 W. Hillcrest
EVAPORATIVE COOLER CITYMOnrovia TEL. NO-358-1969
FURNACE: FAU_GRAVITY STATE LIC.
FLOOR BTU LICENSE NO. 182665 CLASS C-36
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP ZONE I JRO
ED BY °-
WALL v
1 vent only for "F" model `� o 8 `E P! CD
INSPECTION RECOR LLJ
space heater 3 .00 y
z
Plan check fee 25%of above.
PERMIT ISSUING FEE $ 4.50
TOTAL FEE 7.50
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 ORDINANCES AND LAWS REGULATING HEATING, VENTI-
LATING,AIR CONDITIONING.
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL -
CODE OF THE STATE OF. LIF RNIA. ROUGH -2Z-J7
SIGNATURE
OF PERMITTEE FINAL
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDAT O cK. M.O. CASH
U
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