HomeMy Public PortalAbout5757 AGNES AVE_Electrical__ 76A663 CES06 9 64 APPLICATION FOR LIECTRICAL "T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS S2s777
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
NEAREST � �
FOR APPLICANT TO FILL IN cRoss ST LAY
RECEPT TOTAL NO EACH FEE
LIGHT OUTLETS/ FIRST 20 $20 $ OWNER
MAIL
ADD L 1O ADDRESS
SWITCH
OVER 20
FTOTAL7I
LIGHTING FIRST 2020
CITY T NOFIXTURES ADD L 1O ELECTRICIAN
OV R 20
RANGES CLO DRYERS*WTR HTRS 100 V ADDRESS
GARB DIBP STA COOK 1
CITY TEL NO
DISHWASH AUTO WASH STATE
SPACE HTRS BTA APP (y=H P MAX ) 50 LICENSE NO
MOTORS OVER NOT OVER H P DISTRICT NO G O ZONE PR SEED RRY�
O 1 100
I 3 150 INSPECTION RECORD 1
3 a 200 a
O
8 15 250 u
15 50 300 Ot
O
50 100 Soo ~
U
W
NO TRANS D.
SIGNS NO LAMPS Z
SERVICE O 600V NOT OVER 200A loo O
SERVICE 0 600V OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200 jJ
SUPPLEMENTARY PERMIT ISSUING FEE 1100
TOTAL FEE $ !r 0
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
i' V
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT HE L AL O ER OF AND INTEND TO
RESIDE IN THE AB SC IBE
ESI T AL PROPERTY POWER 'c
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE ' �.� Ad
FINAL V
�LI JOSEPH ROOLEC
CK MOO CASH SUPERVISING
ING ELECTRICAL ENGINEER
LILo 9 9 8 0 11,,R 2 9 2 D 4 0 0