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HomeMy Public PortalAbout5918 TEMPLE CITY BLVD_Mechanical__ �- �: FSAa64E- csr4'Be-9/79 APPLICATIONFORPERMIT o`��C u HEATING - VENTILATING - AIR CONDITIONING . //-/-77 t�ZV WILDING AN AFETY DIVISI 7NO- TYPE APPLICANT TO FILL 1N BUILDING (PRINT OR TYPE ONLY) ADDRESS LOCALITY F APPLIANCE OR EQUIPMENT FEE NEAREST CROSS ST. - PTION UNIT, BTU OWNER AIR HANDLING UNIT, CFM MAIL ADDRESS' BOILER, BTU CITY- NO. COMPRESSOR, BTU CONTRALTO ` VENTILATION SYSTEM ADDRESS, EVAPORATIVE COOLER CITY I TEL. NO. FURNAC.E:-FAU_GRAVITY STATE �i L C. /J FLOOR BTU LICENSE NO. ��a CLASS HEATER: SUSPENDED UNIT_ DISTRICT N0. GROUP ZONE ESSED BY CD O WALL }, V UU Z c a 't F- INSPECTION RECORD t3 cn d� Z Plan check fee 25%D of above. PERMIT ISSUING FEE $ TOTAL FEE O 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. I HEREBY'CERTIFY THAT I AM NOT ACTING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE OF CHAPTER 9, DIVISIO .OF THE U INESS A-ND PROFESSIONAL CODE OF THE STATE CA IF RNI ROUGH - SIGNATURE / OF PERMITTEE FINAL ld 17-7i -PLAN CHECK ALlDAT10N M.O. CASH, PERMIT VALIDATION cK. • M.O. CASH •1 MAY 4 4.1 0 1 2L 0