HomeMy Public PortalAbout10629 SPARKLETT ST_Mechanical__ /-/(v C- 1
TEA"A" GgEIE"-S/TS APPLICATION FOR PERMIT
C MEATI - VENTILATING - AIR CONDITIONING
BUILDI AND SAFETY ISION
FOR APPLICANT TO FILL IN BUILDING
ADDRESS 10629 SPAEZTCLEIT ST.
(PRINT OR TYPE ONLY(
LOCALITY TEMR Cm
No TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST
CROSS ST
ABSORPTION UNIT, BTU �*�
OWNER LN�LL`IVRM
AIR HANDLING UNIT CFM MAIL
ADDRESS RAW
BOILER, BTU CITU TEL NO
444-9 1
COMPRESSOR, BTU 3 HE 7 50 oA*�
CONTRACTOR T1Yl1LV� HCC
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY MOMTEL NO 57
1 FLOORFURNACE FAU B(GRAVITY LICENSE NO 265094 CLASS C-20
HEATER SUSPENDED_UNIT_ DISTRICT No cnouP oNE cESSCD Br
WALL _ �
/ 0 $
INSPECTICIA RECORD
yW
N
Z
Plan check fee 25%D of above
PERMIT ISSUING FEE 5
TOTAL FEE
PLAN CHECK APPLICANT ��
NAME
ADDRESS
CITY TEL NO
I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE Aa OVE 13 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENTI
LATINS AIR CONDITIONING
I HERESY CERTIFY THAT I AM NOT ACTINO IN VIOLATION APPROVALS DATE INSPECTO"
OF CHAPTER 9 DIVISION 3 OF TH SUS( S G PROFESSIO
CODE of THE STATE OF IFOR ROUGH /
Yv
SIGNATURE ` I- /�
OF PERMITTEE FINAL 1
PLAN CHECK VALID ON CK M D CASK
PERMIT VALIDATION M o CASH
66-79APR 1341- 0 3450Aqd
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