HomeMy Public PortalAbout9059 ACASO DR_Electrical_7/2/1970 7GA663-CESOG 3-69
APPLICATION FOR ELECTRIC L PERMlr/�/
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRE
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BUILDING AND SAFETY DIVISION J
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDINGYFOR APPLICANT TO FILL IN T
NO EACH FEE
$ $ OWNER
RECEIPT MAIL
LIGHT TOTAL
FIRST 20 20 ADDRESS
SWITCH OVER 20 10 CITY TEL +/
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES } OVER 20 10 ADDRESS
RANGE_DRYER_WTR HTR CITY TEL NO
STA COOK_DISP _F A U CONTRACTOR
SPACE HTR AIR COND Zoe s CJiY �
CLOTHES WASH _DISHWASH CITY h-10141 l ll TELlky
FAN OTHER 1 00 LICENSE NO j(p CLAS Q
MOTORS,TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND HEATERS, ETC HP KW KVA AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY-
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING ,
0 — I 1 DD 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES DUN Y AND STATE OF
I — 10 3 00 CALIFORNIA OR THAT 1 AM T L OW R AND INTEND TO
RESIDE IN THE ABOVE DES ISED RE ID TI ROPERTY Q
10 - 50 1500 u
SIGNATURE OC
50 - 100 10A0 OF PERMITTEE Q
100 - 500 1500 DISTRICT NO G:r ZONE PRO ED V
SIGN,GAS SIGN AND ONE CIRCUIT 3 00 y vaj
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 cp r`
SERVICE OVER 600 VOLTS OR 200 AMP 5 001 1
TEMP SERVICE, POLE, &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING 7- s--7p
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO NOTIFIED 17,
PERMIT ISSUING FEE 2 00 1 40
0, -7
SUPPLEMENTARY PERMIT ISSUING FEE 1100FINAL 7-s -70 77W
TOTAL FEE t"-; JOSEPH C ROOHAN
SUPERVISING ELECTR AL ENGINEER.
PLAN CHECK VALIDATION CK M O CASH` PERMIT VALIDATION CK M O CASH
(' 5 6 6 8- JUL 2 2 04_.0 0� 1;
- -
SEE BACK OF APPLICATION FOR COMPLETE FEE of HEnULE '