HomeMy Public PortalAbout5937 AVON AVE_Electrical_4/20/1965_receptables, outlets, light fixtures 76A663=CE806 9-64 AIPPUCAMN FOR RECUMCAL pEG��' U
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /q
BUILDING AND SAFETY DIVISION ADDRESS (�(
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JE NKINS, SU P'T. OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER
LIGHT / - MAIL
ADO'L1O ADDRESS
SWITCH. OVER 20
LIGHTING TOTAL I FIRST 20/ .20 CITY EL. NO.
FIXTURES i9- ADD'L1O ELECTRICIA
OVER 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 - ADDRESS
GARB.DISP.� STA.COOK i
CITY TEL. NO.
DISH WASH./ AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(%z H.P.MAX. .SO �! LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT. G SlUPE PRO,C- E BY
O 1 1.00
3 1.50 INSPECTION RECORD
3 S 2.00 a
O
8 15 2.50 V
15 50 3.00
50 100 5.00 0
V
SIGNS: NO.TRANS 0-
NO.
NO.LAMPS - H
Z
SERVICE.O.60OV-NOT OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI ATION APPROVALS DATE INSP OR'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
HEREBY .CERTIFY THAT I AM PROPE LY REGIST RED AND/OR FIXTURES
LIC ENSEO AS REQUIRED Y LOS ANGEL COUNTY STATE OF
CALIFORNIA OR THAT I M THE LEGAL WNER F, INTEND TO
RESIDE IN, THE ABOVE ES D REST NTA R Y. POWER
SIGNATURE UTILITY CO.NOTIFIED All
OF PERMITTEE y�y
FINAL 17
(DATION JOSEPH C. ROORAN
67-
MO CASH
SUPERVISING ELECTRICAL ENGINEER