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APPLICATION AND O
<br />MECHANICAL PERMIT
<br />(TYPIWRITE OR PRINT IN INK)
<br />o CITY OF SANTA ANA
<br />206 w 4lh Slreel
<br />667-2738
<br />APPLICANT FILL IN AREA BELOW a.dile
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<br />,031 5. 8u!rn-. ad Prol6!o.! Cod. A.y city or @unty wh'cn ltqurr.. .
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<br />1150o). crrl p..alry ol .ol aora lh.n frv.
<br />lrrocrur6 ls .!or nl.ndod or onerod lor.|16
<br />MAILING AOOFESS
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<br />JOB AODRESS
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<br />Wo.r... C..ttirabrl O.d-a5.r
<br />I hr.by.llrrm lh.l I h.v...tn$..16 ol@,rMl lo $lr-n&,. or. criflcdo ol Wb.ld. Coa.
<br />p.Ml6n rn.ur.nc. c..fth.d @py | fir.d * h rh. clry borong inrp.cr.on (rrper,lur
<br />ll .n.r mrrng rn'. C6r'lrar. ol Er.mpr'6. you thoold b@rE aq.d lo rh. Wdr./. Coorf,$
<br />l.r|on p.ovocr. or rlE lrlor co.r.. yo.r nrd bnr th con9t *ah &cn p.ovBro.r. o. rh.
<br />oorDn $dl b. ah.iad Gror.d
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<br />,6rm|l 6 l.!Fnd.d o. rb.ndo€d .r ..y rrrl. d- ln. *o.t l! co.nn!.nc.d l(, . ,,..i, ol t&
<br />d.y. a n€* o.rmn ,r.lr b. oo[r,!.d n.1 b.lo.. .!cn ro.t c.n !. r.comaric.d
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<br />rnho.ud 6rr..nltllo6 ol rh[ cny ro .ilr upon llt .bdn-m..!rDn.d p.op..ty rd i.t .d|or'
<br />A9olrcanr or ag.nr ls'! ):"3/q48
<br />E Resrdeorral O lndusrnal NO.EACH TOTAL
<br />FIXTURES
<br />EACH FURNACE INCL, OUCTS AI{O VENTS
<br />tlp to 1m.0m 8TU
<br />Over tm qn gTU
<br />EACH ASSORPTION SYSTE
<br />]m 000 8TU 10 r 000,000BTU 25m
<br />l,mo,ml BTU lo 2,0O0,0m BTU 30 00
<br />Over 2.0m.00O ATU 37 50
<br />EACH COUPRESSOA, BOILER, OR HEAT PUITP
<br />SHPlog)HP
<br />31 lo 50 HP
<br />Over 50 HP
<br />EACH AIR IIANOLING UNIT
<br />,0m
<br />over 10.000 cFM r5 00
<br />MISCELLANEOUS
<br />Outdoor Dual Pactag€d lleatin€ or Coolng 25 00
<br />15m
<br />S6pend6d l€aler 15m
<br />15 00
<br />Unn Hearer t5 00
<br />D€corawe Frreplace 15m
<br />R€pa'r. A[ or Add lo eny Healing/Cooing Sys 10 00
<br />Aange Hood rncludrng Ducl and Fan r5m
<br />Each Vent Fan Connecled to a Duct 2_15m
<br />F6n Corl lnst6llatron ?o 00
<br />Dry Chemrcal Sy3rem 15 oO
<br />Each Evaporatrve Cooler 15 00
<br />lncrdenlal Gas Prprnq r0 cro
<br />Fir€ Damp€r lnslellal|on 15 00
<br />€ach Appl[nc6 or Equrpde.r Feiurir.d by
<br />15 00
<br />Hood wdh Orrci and F8n r5 00
<br />Subroral LlO
<br />Penalty F€e (wh6n applrcEble)
<br />Vrolation Fe€ (minimum 35O.m)
<br />Pl6n cneck 65qt ol suUotal (mrnrmum tD0O)
<br />Recerpt No PC No
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<br />TOYAL PERMIT FEE (mhlftrm 33500)7Lo^rE 3 -8s PEAMIT ?{O.
<br />eurr-orilc U I dlQFT
<br />PEnurrro lr r- I vEhrarEo BY (src | -Co-u; oJl-14.-.PERMTT TSSUEO aY (slg )
<br />* 5ot, t s?A/
<br />vauo^TroN (ofFrcE usE oNLY)(accouNl.rl.ara
<br />O,.r,'bol'on I rn3pecror Copy 2 Fi.Copy 3 F'na.!rco!y a AprrE!^l Cqry
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<br />2 0m CFM lo 10.0m CMF E
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<br />ld $ch dDn to fi|. . !{n.d (rtrr.d tnd na a ll.aiaaa
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<br />AOOFESS^7it r 8l,p -12;J.e-
<br />'Prolslru Cod., rrd my lic..E a ln full ,orc. .nd .ri..tr#ff*:=,?mW
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