HomeMy Public PortalAbout5009 AGNES AVE_Electrical_3/8/1963_outlets, light fixtures J !�
16A663 CE806 5 62 APPLICATION FOR ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRESS
BUILDING AND SAFETY DIVISION ��JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING v1
FOR APPLICANT TO FILL IN
RECEPT TOTAL NO EACH FEE
LIGHTAIL OUTLETS FIRST 20 !/ $20 $ OWNER �+(/✓
ADD 10 ADDRESS
SWITCH ! '/�' OVER 20
TOTAL CITY TEL NO
LIGHTING
-IF)RST 20 20
FIXTURES ADD 10 ELECTRICIAN
OV R 20
RANGES CLO DRYERS WTR HTRS 100 ADDRESS 8943 r+.Broadwa
GARB DISP STA COOK
CITYSan ClabriplTEL NO — —
DISHWASH AUTO WASH STATE 178/►87L'f�
SPACE HTRS STA APP (+/a H P MAX) 50 LICENSE NO (J` 8`
MOTORS OVER NOT OVER H.P DIS IC,fG P Z N R E D
O 1 100
. U
1 3 150 INSP CTION RECORD
3 8 200
8 15 2.50 d
O
18 50 300 U
50 100 500
O
SIGNS NO TRANS U
NO LAMPS W
CL
N
SERVICE O 600V NOT OVER 200A loo Z
SERVICE O 600V OVER 200 A 2 00
SERVICE OVER 600V 5 00
MISC
PERMIT ISSUING FEE 2 00 ;1 loo
SUPPLEMENTARY PERMIT ISSUING FEE 1 00
TOTAL FEE
LANDBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8 SIGNATURE_
TE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
LL COUNTY ORDINANCES AND STATE LAWS REGULATING y #1
CAL WIRING WIRING
EBY CERTIFY THA AM PROPERLY REGISTER& A!jq/ORD A8 REOU IREDLOS ANGELES Y AID ST T OF FIXTURESNIA ATITHE LEG W R OP TH BOVED RE IDE TIA OPERTY POWER
URE UTILITY CO NOTIFIED T A
MITTE 'a I f
FINAL
/V7�LIDATION ARTHUR C VEIT
`
OCK MO CASH SUPERVISING ELECTRICAL ENGINEER
JEO 1 8 5 5 8 � D 5 6 0 ,�