HomeMy Public PortalAbout6029 AGNES AVE_Electrical__ 78A683 CE806 3 84 APPLICATION F® ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS cl
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
R E C E P T All, TOTAL NO I EACH FEE
Wl
OUTLETS FIRST 20 >$20 III
OWNER
LIGHT MAIL
SWITCH G ADD L ADDRESS CJ
3 OVER 2O Z 10 _
TOTAL CITY
LIGHTING FIRST 20 20 -� L N (�--
FIXTURES } ADD L t0 ELECTRICIAN
OV R 20
RANGES CLO DRYERS WTR HTRS too ADDRESS
GARB DISP STA COOK CIS. TEL NO
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP + H B—MAX ) $p LICEN NO
MOTORS, OVER NOT OVER H P F
CT NO G OUP ONE PR SSED BY
0 1 100 C
1 3 ISO INSPECTION REC��ORR,DD
3 8 200 6 7 0*1 �? 4JY.� ou
8 18 250 V
n �
tB Bo 1 1300 1 t ^F-
80 100 Boo c -i Fs�f Ui
.�^ O_
U)
SIGNS, NO TRANS r Z
NO LAMPS
SERVICE O 800V NOT OVER 200A 100
SERVICE O 800V OVER 200 A 200 f "C_p ,�i
SERVICE OVER 800V 500
eta�n\s �s
MISC V
PERMIT ISSUING FEE 200 �J
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE 8
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8 SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING �J ,�- •-``O
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF FIXTURES I `�
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDE IAL PROPERT POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE
FINAL
(DATION ARTHUR C VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
:floc 5 211-21 A; R"23 2 D 1 G 60
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