HomeMy Public PortalAbout6128 AVON AVE_Electrical__ IGA663 CE806 10 61 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
I T E M NO JEACH FEE
OUTLET (FIRST 20) $20 $ OWNER _
co
LIGHTS RECEPT SW MAIL
OUTLETS (ADD L UNITS) 1O ADDRESS
LIGHTS RECEPT SW
LIGHTING FIXTURES (FIRST 20) 20 /D CITY TEL NO
LIGHTING FIXTURES (ADDITIONAL) 10 �7 ELECTRICIAN p
RANGES CLO DRYERS WTR HTRS loo ADDRES
GARB DISP STA COOK CIT TEL N -40
DISHWASH AUTO WASH STATE
STA APP (I/s H P MAX ) 50 LICENSE NO / �a
Morons OVER NOT OVER H P DISTRICT NO GBrl EPR D
0 1 100
1 3 ISO INSP CTION R CORD
r
3 8 200 Il
O
8 15 250 V
w
15 50 300 O
50 100 500 C
W
d
SIGNS NO TRANS N
NO LAMPS Z
SERVICE O 600V NOT OVER 200A 100 9999
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V Soo
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE $ O
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDEN P OPE Y ' POWER
SIGNATURE ` UTILITY CO NOTIFIED
OFPERMITTE
FINAL
LIDATION AKTHUR C VEIT
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
Y 1 0 2 9 .AA 2 2 A 6.10-
A ��