HomeMy Public PortalAbout5327-5329 SANTA ANITA AVE_Mechanical__ 7SA3941C CES1BB-9/73 pppLlC N FOR PERM
HEATING - VENTILATING - AIR CO DITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO. FILL IN ADDRESS
(PRINT OR TYPE ONLY)
LOCALITY
No. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST
CROSS ST.
ABSORPTION UNIT, BTU
OWNER � �
AIR HANDLING UNIT, CFM MAIL
ADDRESS
BOILER, BTU CITY TEL. NO.
ACOMPRESSOR, BTU Zp� /
CONTRACTOR
VENTILATION SYSTEM ADDRESS pa 27
EVAPORATIVE COOLER CITY TEL. NO.377„6`7
FURNACE: FAU_GR VITY STATE r LIC.
FLOOR BTU ���FJQ LICENSE NO. ;Z r7 CLASS
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP ZONE _ELPCESSED BY
WALL
INSPECTION RECORD w
a
CAI
Z
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 IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI-
LATING,AIR CONDITIONING.
APPROVALS DATE INSPECTOR'S SIGNATURE
I HEREBY CERT AT AM NOT ACTING IN VIOLATION i•,,�•;
OF.CHAPTER 9, D SIGN 3, OF HE BUSINESS AN ROFESSIONAL r �-
CODE OF THE ST TE CALIF NIA. ROUGH
SIGNATURE FINAL %p —y—
OF PERMITTEE
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION � M.0. CASH
433.9AUC 34:2 D
34.5p A96
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