HomeMy Public PortalAbout9828 WOODRUFF AVE_Mechanical__ 76A364C:ICE-B1BBI.11/76 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING []O O
(PRINT OR TYPE ONLY) ADDRESS 9828 Woodruff
LOCALITY Tgmple City
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST.
ABSORPTION UNIT,BTU
OWNER Ca -qlhctuist Builders
AIR HANDLING UNIT,CFM MAIL -
ADDRESS 20285 Ruddock
BOILER,BTU CITY TEL.NO.
Covina 331-1330
COMPRESSOR,BTU CONTRACTOR JO
M
VENTILATION SYSTEM ADDRESS 810 W Front -St.
EVAPORATIVE COOLE CITY Covina TEL.NO. 3327444
I FURNACE: FAUIf—GRA T STATE LIC.
` FLOOR BTU 4-V LICENSE NO. 315103 CLASSC-20
HEATER: SUSPENDED UNIT— DISTRICT NO. GROUP ZONE PROCESSED BY
WALL
INSPECTION RECORD
in
0
Plan check fee 25%of above. u
PERMIT ISSUING FEE$ us
TOTAL-FEE j
PLAN CHECK APPLICANT
NAME
ADDRESS ;
CITY TEL.NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND L"GULATINGHEATING, VENTI TING, AIR
CONDITIONING.1 HEREBY CERTACTING IN OLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE
CHAPTER 9. DIVISIONS AND P SSIONAL CODE
OF THESTATEpFC ROUGH / - ..�
SIGNATURE( FINAL
OFPERMITTE `
PLAN CHEC ALIDATION cK. M.O. CASH PERMIT VALIDATION cK. 4 M.O. CASH
126NNOV 1541 0 1 2.00 ���
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