HomeMy Public PortalAbout4914 ALESSANDRO AVE_Electrical__ 76A6r63 CE606 4 65 APPLICATION FOR ELECTRICAL PERMIT u
^COU4-rY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS c>
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPTACLE 1 TOTAL NO I EACH FEE
JI} OUTLETS FIRST 20 1/ $ 20 $ �/� OWNER
LIGHT
MAIL
SWITCH ADD ADDRESS
2
OVER 20 10 � 4
1 TOTAL FIRST 20 20 CITY TEL NO -39s
LIGHTING l FIXTRES
FIXTURES f Y qDD L 1O CONTRACTOR
OVER 20
RANGES CLO DRYERS WTR HTRS 100 ADDRESS
GARB DISP STA COOK e _ Ae
CITY 0 C ,r TEL NO
DISHWASH AUTO WASH STATE 7 �/
SPACE HTRS STA APP (1/s H P MAX ) 50 LICENSE NO
MOTORS OVER NOT OVER H P DISTRICT NO G U NE PR ESSED BY
fO 1 100 a ✓ G
1 s 150 INSPECTION RECORD
P
8 S 200 "V
00 �
� � ���
—3
8 15 250
15 50 3 00All �! , J O
50 100 Soo ' V
CC
SIGNS NO TRANS O
NO LAMPS F
SERVICE 0 600V NOT OVER 200A 1 00 d
N
SERVICE 0 600V OVER 200 A 200 ,O.' Z
SERVICE OVER 600V Soo / a n lop
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200
SUPPLEMENTABY PERMIT ISSUING FEE 1 00
TOTAL FEE $ APPROVALS DATE INSPECTOR S SIGNATURE
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM E LEG OWNER OF AND INTEND TO POWER S
RESIDE IN THE ABOVE D IBE E ID lµ.PROPERTY
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE n
FINAL
(DATION JOSEPH C ROOHAN
CK 0 CASH SUPERVISING ELECTRICAL ENGINEER
UACO 1 4 5 8 a AP`^ R 21 2 0 3 6 0N