HomeMy Public PortalAbout6028 AVON AVE_Electrical_1/7/1966_light fixtures 78A863.�:E0b6 4 66 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY 04Z g:2a& 7 L
FOR APPLICANT TO FILL IN CROSS NEAREST
RECEPTACL TOTAL NO EACH
EACH F E
LIGHT UTjLETS FIRST 20 0 $ 20 $ OWNER MAI L AMP 7--
(/S/1/C/
SWITCH ADD L 10 ADDRESS
OVER 20 j
TOTAL Af FIRST 20 20 O CITY EL NO
LIGHTING FIXTU ES _
FIXTURES ADD L OVER 20 1 10 CONTRACTOR Q d G
RANGES CLO DRYERS WTR HTRS 1001 ADDRESS 1
GARB DISP STA COOK CITY ,( TEL NO
DISH WASH J AUTO WASH -^5 .�f STATE
SPACE HTRS STA APP W.H P MAX ) V 50 LICENSE NO
MOTORS OVER NOT OVER H P DISTR,= NO I G Z P D
O 1 100
1 3 150 INSPECTION RECORD
s B 200 ! ��
8 15 250
1S 50 300 O
50 100 Soo V
Im
SIGNS NO TRANS O
NO LAMPS V
W
SERVICE O 600V NOT OVER 200A AC( 100 a
N
SERVICE 0 600V OVER 200 A 200 Z
SERVICE OVER 600V 500
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT 186UING FEE 100
TOTAL FEE Is
APPROVALS DATE INSPECTOR S SIGNATURE
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APP (CATION 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 3
1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR V
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM PqtgEGAL OW OF AND INTEND TO POWER
RESIDE IN THE OVE DE RI D ESI N ROP TY
SIGNATURE UTILITY CO NOTIFIED l i
OF PERMITTE
FINAL
(DATION JOSEPH C ROOHAN
CKMO CASH SUPERVISING ELECTRICAL ENGINEER
LAC0 8 615,%g JAI`! 7 2 A 16.3 p