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HomeMy Public PortalAbout5500 ROSEMEAD BLVD_Mechanical__ 76A]E41%-CSISISC-1/76 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING s2 e, BUILDING-AN D SAFETY DTVI§SON Fcheck APPLICANT TO FILL IN BUILDING T /� �J (PRINT OR TYPE ONLY) ADDRESS d K/ /L LOCALITY F Ap PLIANCE OR EQUIPMENT NT GEE NEAREST CROSS ST PTION UNIT, BTU OWNER � NDLING UNIT, CFM MAIL ADDRESS R BTU CITY TEL I O ESSOR, BTU Q 11 CONTRACTOR LATION SYSTEM ADDRESS 14�6-130 �9A� RATIVE COOL R CITY �G jT�EL NO 1.1cA �{ FURNACE FAU BTU RAV TY�_ LICENSE NO �O CLASS dl R SUSPENDEO_UNIT_ DISTRICT M0 GROUP :ouc o s ED er a WALL �Op A� Gas Cl Ci o INSPECTION RECORD o. N Z e 25% of above PERMIT ISSUING FEE S TOTAL FEE p PLAN CHECK APPLICANT NAME ADDRESS CITY TEL,{ O I HFRESY ACKNOWLEDGE THAT I HAVE RE• THIS APPLICATION AND 3TATE THAT THE ABOVE N CORRECT AN AGREE TO COMPLY WITH ALL ORDINANCESAND LAWS REGULATING HEATING VENTI LATING AIR CONDITIO Si N6 IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION APPROVALS DATE INSPECTOR 9116NATURF OF CHAPTER 9 DIVISIOF THE BUSI EBB AND PROFE8310MAL CODE OF THE STATE CA IFO NIA ROUGH SIGNATURE OF PERMITTEE FINAL PLAN CHECK qALIDATION CO/ M 0 CASH PERMIT VALIDATION cK M D CASH 6342.00A98 �ti i} 6( I�PPLIC�TIOiN FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING n (PRINT OR TYPE ONLY) ADDRESS No YPE OF APPLIANCE OR EQUIPMENT PEE LOCALITY �(�NEAREST ell '7-111 CROSS ST i /g ABSORPTION UNIT BTU r9R lI>ljS `O OWNER � AIR HANDLING UNIT CFM MAIL ADDRESS BOILER, BTU CITY TEL NO 577 COMPRESSOR BTU 11 CONTRACTOR VENTILATION SYSTEM ADDRESS EVAPORATIVE COOLER CITU ATFL 1,1017 FURNACE FAU_GRAVITY STATE LIC / FLOOR BTU LICENSE NO CLASS Z' HEATER SUSPENDED—UNIT_ .)STRICT N0 GROUP ZONE CESSED BY WALL S. 08 f= C 8 INSPECTION RECORD W Plan check fee 25% of above PERMIT ISSUING FEE S TOTAL FEE ` U PLAN CHECK APPLICANT NAME ADDRESS CITY TEL NO 1 HEREBY ACANOW LC DOC THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IE CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENYI LATINO AIR CONDITIONING I HEREBY CERTIFY TH T I A T ACTING IN VIOL ION APPROVALS DATE INSPECTOR S SIGNATURE Or CHAPTER 9 DMS F 0V MtlS D PR AL CODE OT THE STATE F CA ROUGH SIGNATURE +, OF PERMITTEE FINAL PLAN CHE VALIDATION CR M 0 CASH PERMIT VALIDATION cN M o CASH a3011AN 341 o 1930 .E (p ��