HomeMy Public PortalAbout5918 TEMPLE CITY BLVD_Mechanical__ �- �:
FSAa64E- csr4'Be-9/79 APPLICATIONFORPERMIT o`��C u
HEATING - VENTILATING - AIR CONDITIONING
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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
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WALL }, V
UU Z c
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F-
INSPECTION RECORD t3
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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