HomeMy Public PortalAbout5323-5325 SANTA ANITA AVE_Mechanical__ YGA36419 CIS818113-9/75 APPLICATION F PERMIT
HEATING - VENTILATING - AIR CONDI ONING LJ
-3 ,�3 �
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING ,.
(PRINT OR TYPE ONLY) ADDRESS y /✓ /y ./✓
NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE LOCALITYNEAREST
CROSS ST.
, ABSORPTION UNIT, BTU
OWNER
AIR HANDLING UNIT, CFM MAIL
ADDRESS
BOILER, BTU CITY TEL. NO.
2 COMPRESSOR, BTU 2 CONTRACTOR'
�� C'S Tr} �
VENTILATION SYSTEM ADDRESS
EVAPORATIVECOOLER CITY TEL. NO. 7ZZ;9,
2 FURNACE: FAU_G VITY STATE LIC.
FLOOR BTU d�d0�— LICENSE NO.�Z6r_7 � CLASS e-j+
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP ZONEOSSEO BY n-
O
WALL c.3
5"�'v 6
INSPECTION RECORD w
a
Plan check fee 25%of above.
PERMIT ISSUING FEE $
TOTAL FEE
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.
APPROVALS DATE INSPECTOR'S SIGH.p,TIIRE
I HEREBY CERTIFY T I AM NOT•ACTING IN VIOLATION .�.y ?+15;C
OF CHAPTER .i DIVI 3, F THE BUSINESS AND PROFESSIONAL
CODE OF THE STAT 0 CALI 0R NIA. ROUGH ,Al��
OF PESIGNATUREIT FINAL t
OF PERMITTEE
PLAN CHECK VALIDATION PERMIT VALIDATIdN cK. " M.O. CASH
CK. M.O. CASH
4 3.442'AUG .3 41 1) 3 4.5 0 AS18
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