HomeMy Public PortalAbout9546 WEDGEWOOD ST_Mechanical__ 7GA360M-"CgGIG13-9/75 APPLICATION FOR PERMIT
HEATING - V TILATING - AIR CONDITIONING
BUILD AND SAFETY DI ION
F0'R APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE NEAREST
CROSS ST.
ABSORPTION UNIT, BTU ar
OWNER
AIR HANDLING UNIT, CFM MAIL
AD DRESS
BOILER, BTU CITL.
COMPRESSOR, BTU CONTRACTO IVI __;to
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY TEL. NO.
FURNACE: FAU 'GRA ITY STATE f� L C.
FLOOR BTU c/ LICENSE NO. �O CLASS
HEATER: SUSPENDED NIT_ DISTRICT NO. GROUP ZONE SSED BY
WALL � Rol
INSPECTION RECORD
v
W
CL
ti
Z_
Plan check fee 25%of above.
PERMIT ISSUING FEE $ B
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.
I HEREBY
CERTIF TH T I AM OT ACTING IN`VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DTVI N 3, OF HE B SI S AND PROFE IONAL
CODE OF THE STAT OF CA F I ROUGH
SIGNATURE FINAL `��
OF PERMIT T E
PLAN CHEC ALI ATION PERMIT VALIDATION K. M.O. CASH
CKZ/ CASH
0lAPENaATl9
i-IOLDER: .,.2..,0_6 ti(�,AR 22 5 A 27.00 A
:' �...i•�r Jed '
QUCY NUMBER: ;X-.