HomeMy Public PortalAbout10144, 10128 BOGUE ST_Electrical_7/13/1967 76A663-CE8061-67 APPLICATION FOR ELECTRI AL PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS j ) u
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY F I`� G.f1k n'l J
NEAREST / Al
FOR APPLICANT TO FILL IN CROSS ST. 1. if lield
RECEPT. 1 TOTAL NO. I EACH FEE
LIGHT JIIS OUTLETS FIRST 20 $.20 $ OWNER ,�'j�
MAIL /�
SWITCH ADD'L 10 ADDRESS 1/� /3 U
OVER 20 c7 {^'
TOTAL FIRST 20 .20 CITY L ��/( TEL. NO./ S
LIGHTING I
_FIXTURES
FIXTURES ADD'L 10 CONTRACTOR
OVER 20
:
RANGES DRYERS WTR.HTRS. 1.00 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. - DISTRICTN G OU ZO P O E
O 1 1.00 ��
1 3 1.50 INSPECTION REC RD
3 8 2.00
8 15 2.50
15 50 3.00
50 100 5.00 0
SIGNS: NO.TRANS rg
NO.LAMPS Q
H
SERVICE 0.60OV-Nor OVER 200A 1.00 {UL1
CL
SERVICE 0-60OV-OVER 200 A. 2.00 N
z
SERVICE OVER 600V 5.00 —
OTHER (SEE COMPLETE FEE SCHEDULE)
x2
Z Sod a
PERMIT ISSUING FEE 2.00f
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROV L DATE INs CT R'S SIGNATURE
TOTAL FEE T -lf-
'1 HEREBY ACKNOWLEDGE THAT I 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
I 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 OWNER OF, AND INTEND TO POWER
RESIDE IN,THE ABOVE DESCRIBED RES NTI PRO RTY.
SIGNATURE j/ UTILITY CO.NOTIFIED
OF PERMITTEE FINAL .Ir�CO
"V6A6LTlDaAT_pN , JOSEPH
!`(CASH SUPERVISING
CK MO ELECTRICAL
TRICAL ENGINEER
•
LAW
JUL 13 2 D 7.00-
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