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HomeMy Public PortalAbout5837-5839 TEMPLE CITY BLVD_Mechanical__ FGA986L;_R QaB18B-9/75 APPLICATION FOR PER HEATING - VENTILATING - AIR CONDITIONING BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING (PRINT OR TYPE ONLY) ADDRESS LOCALITY NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE NEAREST CROSS ST. ABSORPTION UNIT, BTU OWNER AIR HANDLING UNIT, CFM MAIL ADDRES BOILER, BTU CITY EL. NO. COMPRES'q R, B U 16 Dd CONTRACTOR VENTILATION SYSTEM ADDRESS 3� EVAPORATIVE COOLER CITY EL. NO. FURNACE: FAU_GRAVITY STATEC. FLOOR BTU O LICENSE NO. CLASscy HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP ZONE PROC BED BY Y WALL �- INSPECTION RECORD W d Z_ Plan check fee 25% of above. PERMIT ISSUING FEE $ d D 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 A WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- LATING,AIR CONDITIONING. I HEREBY CERT TH AM NOT ACTING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE OF CHAPTER 9, DI S10 OF E USINESS AND PROFESSIONAL , CODE OF THE STA E OF R 1 ROUGH SIGNATURE OF PERMITTE FINAL PLAN CHE VALIDATION CK. M.Op _ 4ASpo PERMIT VALIDATION CK. M.O. CASH tO 0 0 0 0 N o 0 o O, //2-.;77.?' cn N N o OD 1 ;IN-7 OO .p 'O_ O O — y CH