HomeMy Public PortalAbout5935 1/2 AGNES AVE_Electrical__ 76A663 CE806 3 64 APPLICATION FOR ELECTR L RMIT
COUNTY OF LOS ANGELES
DEPARTMENT BU LDING AND SA ETY DIV DIVISION ADDRESS c5 3 ) /9 GA/ES
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO I EACH PEE 'y I/)
/ T, h
OUTLETS FIRST 20 1_2,01$20 $ 1L OWNER J p�(J .0 [�(�� -AIST,
1/
SWITCH LIGHT `�✓ OVER 2MAIL
O 10 3l_ C�� All ESS /� j��70 0)S() 6-/71{ /jJEA0
LIGHTING TOTAL FIRST
FIRST 20 20 CITY -&,44 IVf?l TEL NO
FIXTURES I
—JAL-1 DR 20 to ELECTRICIAN ���
RANGES CLO DRYERS WTR HTRS tool ADDRESS // ORD A/�J',•/�`+
GARB DISP STA COOK CITY`S /?I kEL NO
DISHWASH AUTO WASH STATE yj J
SPACE HTRS STA APP (1/.H P MAX) 50 LICENSE NO
MOTORS OVER NOT OVER HP DISTRICT NO GROUP NE P OCESSED Y
o I too
I 3 ISO INSPECTION RECORD }
a
3 s 200 p
V
8 15 250
IS SO 300 0
V
SO f00 500 w
o_
SIGNS. NO TRANS N
NO LAMPS Z
SERVICE O 600V NOT OVER 200A 1100 11
SERVICE O 600V OVER 200 A 1200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE too
TOTAL FEE $/vr— 2-
LADBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYCONDUIT
L COUNTY ORDINANCES AND STATE LAWS REGULATINGAL WIRING ZBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORWIRINd e�AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES �IA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVED RES]DENTIAy$ROPERTY POWER MITU
IGNATURE 11F UTILITY CO NOTIFIED
FINAL
LIDATION ARTHUR C VETT
(fKMO CASH SUPERVISING ELECTRICAL ENGINEER
5260 OCT 26 2 D 1520-