HomeMy Public PortalAbout5930 AVON AVE_Electrical_7/1/1968_outlets . 768663-CE80'61-68 APPUCAMN FOR ELECTMAL PERK
. COUNTY OF-LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDIN
BUILDING AND SAFETY DIVISION G
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS a
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FFIXTURES
NEARESTFOR APPLICANT TO FILL IN CROSS STNO. EACH FEE
$ $ OWNER
� MAIL ��//tl(TOTAL FIRST 20 .20 ADDRESS M?l� OVER 20 .10 CITY .dE /� EL. CH CK
1 TOTAL FIRST 20 .20 APPLICANT
IOVER 20 .10 ADDRESS
RANGE_DRYER—WTR.HTR.— CITY O.
STA.COOK_01SP. F.A.U._ R �.
SPACE HTR. AIR
COND.—ADDRESS
i
CLOTHES WASH._DISHWASH._
CITY NO.
FAN_OTHER 1.00 LICENSE NO. CLASS.•
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READTHIS APPLICATION
D� SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 3
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
i - ELECTRICAL WIRING.
0 - 1 1.00 ,
} HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR -
4 1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO '+ d
10 - 50 5.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. ' O
SIGNATURE y� 4 e3 U
50 - 100 10.00 OF PERMITTEE ' - d'
A_: p
loo — soo 15.00 DI STH ICT(�I'O. G P ZONE I PROCESSED BY U
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 .1 a ®a W
TUBE, OR fL
MARQUEE ADDITIONAL CIRCUITS 1.00 ' N
'x NOTES: Z
SERVICE NOT OVER/600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 - APPROVALS DATE INSPECTOR'S SIGNATURE
.2 TEMP. POWER POLE .
5
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL)
FIXTURES
PLAN CHECK FEE (50q PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 Da UTILITYCO.NOTIFIED o
SUPPLEMENTARY PERMITlSSUING FEE 1.00 FINAL 7-2
^.' TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING.ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ASH
I [o z 7 62 JUL 1 2.4 0 a
iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE