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HomeMy Public PortalAbout10228 RANDWICK DR_Mechanical__ 6A3u-C8a818-1-68 APPLICATION FOR PERMIT HEATING - VENTILATIN-G.- AIR CONDITIONING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION B UILDING �OotoZ,� iT/i) JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF.BUILDINGY `FOR-APPLICANT TO-FILL"IN . <:5"1_f c.Ir_' M A-A) R V I_. (Print or type only) OWNER - r , ErV e- -W No.. TYPE;OFAPPLiANCE OR EQUIPMENT FEEMAIL a ADDRESS )Oa a. Lf/j C ABSORPTION SYSTEM, BTU CITY �L� �lT TEL. NO. AIR HANDLING UNIT, CFM CONTRACTOR l BOILER, HORSEPOWER *' ADDRESS r-O A,LDw COMPRESSOR, HORSEPOWER • CITY ptpC Qi t A. TEL. NO.(,((/`STATE LIC. VENTILATION SYSTEM LICE SE NO. S-V( 79 CLASS C,67_3 DISTRICT NO. GROUP ZONE PROCESSED BY EVAPORATIVE COOLER FURNACE: FAU GRAVITY FLOOR—BTU INSPECTION RECORD v HEATER: SUSPENDED UNIT WALL a Al AV Zvr/ a rr 30 v©0 NEW—ADDITION PERMIT. $ 3 00 ALTER—REPAIR— TOTAL FEE S I HEREBY ACRNOWLEDBE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HEATING, VENT[LAT I NG,'AIR CONDITIONING. - 1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTER 9, DIVI N 3, OF THE SINESS AND PROFESSIONAL CODE OF THE STATE ALIFORN ZROUGH LS A IN CTOR'S SIGN URE SIGNATURE MIDATION JACK R. ALLEN M.O." CASH SUPERVISING MECHANICAL ENG'R. 03 LAC:,.9 5 -9 2 APR 8 4 E1 D 10.50, iEE @ACK QF AP.1'LIC/MTIQNFORf,9r,M PLFLE FE SCHEDULE