HomeMy Public PortalAbout4947 WILLMONTE AVE_Mechanical__ 75"i` 5!!L6
_.1813 APPLICATION FOR PERMIT O_
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
7FOR APPLICANT TO FILL IN INEAREST.
UILDING
(PRINT OR TYPE ONLY) DDRESS
OCALITY
EOFAPPLIANCEOR EQUIPMENT FEE ROSS ST
ABSORPTION UNIT, BTU
OWNER
AIR HANDLING UNIT, CFM MAIL
ADDRESS
BOILER, BTU CITY TEL. NO. �j
/ COMPRESSOR, BTU -�
CONTRACT&R Q hi C�j
VENTILATION SYSTEM ADDRESS � d e
EVAPORATIVE COOL R CIT /� TEL. NO.
FURNACE: FAU GRAVITY STATE �✓ �7 �j Q LIC.
FLOOR BTU Q LICENSE NO. � J�Po�O CLASS C
HEATER: SUSPENDED UNIT_ DISTRICT N0. GROUP ZONE Ess ED B a
WALL x L � p
t c�
CY.
INSPECTION RECORD CD
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CL
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Plan check fee 25%of above.
PERMIT ISSUING FEE $
TOTAL FEE FA'
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING: HEATING, VENTI-
LATING,AIR CONDITIONING.
I HEREBY CERTI THAT 1 AM NOT ACTING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DIV 10 OF THE BUSINESS AND PROFESSIONAL
CODE OF THE STAT OF AL IA. ROUGH
SIGNATURE
OF PERMITTE FINAL
PLAN CHECK VALIDATIO GK. M.O. CASH PERMIT VALIDATION CK., M.O. CASH
C U � � 21 0 tiPaOV 14 4 1 0 1 9.5 0
POLICY HOLDER:
P 0 L I C Y HlUiJflS-E :