HomeMy Public PortalAbout5332 ALESSANDRO AVE_Electrical__ 76A663 CE806 1 67 APPLICATION FOR ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING J2? / E Qa O
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST J
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL No EACH FEE
/ OUTLETS FIRST 20 $20 �' ..+ MWNER /5?�/ tea►.
LIGHT ALJ/
SWITCH > ADD L 10 ADDRESS
OVER 20
OTAL FIRST 20 20 CITY TEL NO
LIGHTING 1 FIXTURES r
FIXTURES Jr ADD L CONTRACTOR
OVER 20 10 Poo
RANGES DRYERS WTR HTRB 100 ADDRESS
GARB DISP STA COOK
CITY TEL N
OISHWASHj,�- AUTO WASH STATE p�
SPACE HTR9 STA APPL 50 LICENSE NO�ol
MOTORS OVER NOT OVER HP DISTRICT N GR P D
O 1 100
1 3 150 INSP CTION R CORD
3 8 200
8 15 250
15 50 300 d
50 100 500 0
SIGNS NO TRANS D�
NO LAMPS / (O
SERVICE O 600V NOT OVER 200A 100 ` W
O
SERVICE O 600V OVER 200 A 200 N
SERVICE OVER 600V Soo
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2 00
SUPPLEMENTARY PERMIT ISSUING FEE 100 APPROVALS DATE INSPECTOR S SIGNATURC
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLYEAT16N UN DERS LAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO tOMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V('/
ELECTRICAL WIRING WIRING _/,(/
1 HEREBY CERTIFY THAT I AM PROPERLY EGISTERED AND/OR FIXTURES
LICENSED AS R IRED BY LOS ANGELES UNTY AND STATE OF
CALIFORNIA OR H T 1 AM THE LEGAL OW R OF AND INTEND TO POWER A
RESIDE IN THE=SCRIBED SCRIBED RE ID IA OPERTY A
SIGNATURE "00S, UTILITY CO NOTIFIEDOF PERMI" III
FINAL
C LIDATION JOSEPH C ROOHAN
CK MO CASH SUPERVISING ELECLEC
TRICAL ENGINEER
LA160 0 6 5 5 SEP 5 2 D 1470-