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HomeMy Public PortalAbout5940 AGNES AVE_Electrical__ 768663-CE80610/72 APPLICATI '-F R ELECTRICAL PERMIT---- COUNTY COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION L� LOCALITY NEAREST • �i p FOR APPLICANT TO FILL IN CROSS ST. G� /.7 ����=�• c%�l FOUS NO. EACH FEE OWNER OR a 5 $ FIRM NAM .. J MAILTOTAL FIRST 20 .25 Cjt> ADDRESSOVER 20 CITY. J, ,/� TEL..10 PLAN CHECK APPLICANT FIRST 20 .25TOTAL OVER 20 ADDRESS _� .10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER WTR. HTR._ APPLICANT t4>=s— a STA. COOK DISP./F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE OR CLASS. REG. NUMBER FAN OTHER 1.00 �J 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION V AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT IAM PROPERLY REGISTERED AND/OR 0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWN5A OF THE ABOVE 1 — 10 3.00 OESCRIP,ED RESIDENTIAL PR PERTY. 10 — 50 5.00 P E R M I T E E 0� �� 1.l�sg V SIGNATURES%' O 50 — 100 10.00 — F— DISTRICT NO. OC ED BY W 100 — 500 15.00 '6. S /� l N SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR/ SIGNATU~RE Z( ' TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &&APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED fi UTILITY CO. NOTIFIED FINAL '�T<Yb4. 9�1 • PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 f7 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 4 Z-) 11ri1 u 5.25A SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE80610/72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB {BUILDING AND SAFETY DIVISION ADDRESS 594Q Agnes St. LOCALITY Temple Cit NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS N0. EACH1 FEE OWNER OR RM NAME Allan Shinn c RECEPT. 13 27 5 5Al L LIGHT_ TOTAL FIRST 20 25 8. vADDRESS 0 Agnes St. SWITCH_ +»*— OVER 20 10 � © � CITY TEL. N0. PLAN CHECK LIGHTING TOTAL 25 FIRST 20 APPLICANT OVER 20 ADDRESS FIXTURES .10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYERWTR, HTR._ APPLICANT Prof. V Z STA. COOK DISP. F.A.U. ADDRESS SPACE HTR, AIR COND. CITY TEL. N _ CLOTHES WASH. DISHWASH. LICENSE OR CLASS. REG. NUMBER FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE r 1 - 1O 3.00 DESCRIPED RESIDENTIAL PROPERTY. > O PERMITEE V 10 - 50 5.00 SIGNATURE L� O 50 - 100 10.00 DISTRICT NO. PROCESSED BY W 100 - 500 15.00 -c/ CI"' SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK S ERVI CE OVER 600 VOLTS 0 R 200 AM P l 10.00 _LI() ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING 1255-I'W-T? TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) - NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 4 -1 TOTAL FEE S PLAN CHECK VALIDATION CK. M.O. CASH PER•A%IIT VALIDATION CK. M.O. CASH 2 (4c `k s 5 2 ® 5 3.0 5 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE