11416 •
CITY OF GLENDALE ;
BUILDING PERMIT •
INSPECTOR COPY,
5850 West Glendale Avenue r
Glendale,Arizona 85301-2599
Office:(623)930-2800 Inspections:(623)915-3263 Permit No. 11416 Inspection Area: MH Issue Date: 04/26/2004
PROJECT INFORMATION ., Project No. Sq: Ft. valuation •
Address • ,: City/State . -. . .
0 0
7200 N 43RD AVE• SPACE#71 GLENDALE,AZ. .. Permit Type
Location Parcel Subdivision x ! .i . " LotA 4 `- MECHANICAL- - - - - _ - - _ -
Issued By Statistical Code STD#
_ HICKST 700.
OWNER INFORMATION": • Sewer Elect Gas Water Meter FF Cert Req
Name ` - `"
'PRIME CONTRACTOR INFORMATION
Name
MARYVALE REFRIGERATION AND HEATING
Address - - ( iR • _ •
(1102 W FAWN LN AVONDALE AZ 85323
Contractor License No. License Type
:'
•
Description of Work/Special Conditions _`. - -�
REPLACE REMOTE HEATPUMP WITH LIKE UNIT .ris
oxpired, no Inspections cakes/°
, METER CLEARANCES INFORMATION
° �.s - Inspector
>. {e Date of Final -
`' Electrical - Date
Date
- :: �a - Certificate of Occupancy Number
I hereby certify that I am the owner or duly authorized owner's agent,that I have read this application and that all information is correct. I further certify that I have read,understand and will comply with
all the provisions outlined hereon. I also certify that the plot plan submitted is a complete and accurate plan showing any and all existing proposed structures on the subject property.
Signature 6.62t2 • Date Atae,
Provisions: The applicant is advised that issuance of this permit will not relieve responsibilityof the owner or owner's agents to comply with the provisions of all laws and ordinances,including federal,
state and local jurisdictions,which regulate construction and performance of construction,or with any private deed restrictions. This permit becomes null and void if the construction work authorized is
not begun within 180 days from the date of issue or if at any time prior to final inspection and approval the work is suspended or abandoned for a period of 180 days.