HomeMy Public PortalAbout6008 ALESSANDRO AVE_Electrical__ (2) 76A663 CE806 12 66 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS rj� E+ $ O V
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST -K/-CD n
FOR APPLTI-CANT TO FILL IN CROSS ST lCYY
RECEPT 1 TOTAL I NO EACH FEE /
OUTLETS I FIRST 20 $20 $ OWNER yra �/f'/L,CepW
LIGHT J} MAIL R
SWITCH ADD L 10 ADDRESS OO /ESS �✓�'e
OVER 20 �^^ _
✓
TOTAL FIRST 201 20 CITY T C/ TEL NO !1O
LIGHTING 1S FIXTURES
FIXTURESJ ADD L
OVER 20 10 CONTRACTOR
RANGES DRYERS WTR HTRS too ADDRESS
GARB DISP STA COOK CITY TEL NO
DISHWASH AUTO WASH STATE
SPACE HTRS STA APPL 50 LICENSE NO
MOTORS OVER NOT OVER H P DISTRICT N GRO P Z P D
O 1 100
1 3 150 INSPECTION RECORD a
O
3 8 200 // �7 / U
tt c� �v w
8 15 250 Q
15 50 300 V
W
CL
so 100 500 Z
/s _
SIGNS NO TRANS
NO LAMPS A f
SERVICED 600V NOT OVER 200A 100 A Lam,
SERVICE O 600V OVER 200 A 1200
SERVICE OVER 600V 1500
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100 APPROVALS DATE INSPECTOR 8SIGNATURE
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERS LAB 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 I AM THE LEGAL OW OF AND INTEND TO POWER
RESIDE IN THE ABO DESCRIBED RESID T L PR PERTY
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE
FINAL
VALIDATION JOSEPH C ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
Lhi"o 6 6 4 3 JAN 10 2 D 3,8 O N
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