HomeMy Public PortalAbout5752 AGNES AVE_Electrical_7/2/1964_outlets, receptacles, switches a
7EA663 C 606 ,D 62
'APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �+
BUILDING AND SAFETY DIVISION ADDRESS- p �J
JOHN A LAMBIE COUNTY ENGINEER e
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST L
FOR APPLICANT TO FILL IN CROSS Sr
RECEPT TOTAL NO EACH FEE
LIGHT
OUTLETS FIRST 20 $20 $ OWNER
Q
O MAIL
ADD L ADDRESS
SWITCH OVER 20 10
TOTAL Q CITY TEL NO
LIGHTING FIRST 20 20
FIXTURES ADD L 10 ELECTRICIAN 0
OVER 20 c
RANGES CLO DRYERS WTR HTRS 100 ADDRESS/ /¢'J -j vo4 5
GARB DISP STA COOK TEL NO fO /
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (+/i H P MAX ) 'j0 LICENSE NO (p
MOTORS OVER NOT OVER H P DISTTT�NO GRQUP ZONE I PRgCESSgD BY
O 1 100 O ESle x/'
1 3 ISO INSPECTIONS RECORD A e
3 S 200 1 1 0
8 75 250 I v f� V
cc
1S 50 300 0
50 too 500
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V NOT OVER 200A too _ v
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE $ Q
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT i �{ A,
WITH ALL COUNTYORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
WIRING
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 6 v — I/v
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEG O NER OF THE ABOVE
DESCRIBED RESIDENTIAL PROP Y POWER
SIGNATURE UTILITY CO NOTIFIED ® i9 VORY Jv I
OF PERMITTEE F /
FINAL (�
A IDATION ARTHUR C VEIT
CKMO CASH SUPERVISING ELECTRICAL ENGINEER
1 0790% JUL 2 2 D 820N g
r- • � v r
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