HomeMy Public PortalAbout9034 JAYLEE DR_Electrical_3/17/1969_dryer '.76A663-CE806 1-68 n P^ AVOFOP, E ECTM
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION q BUILDING (711) f`
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS U II �p h J
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
m. AR NEAREST / y.i•// /J
I FOR APPLICANT TO FILL IN - CROSS ST.
NO. EACH FEE
RECEPT. � $ $ OWNER
i MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
} SWITCH_ OVER 20 .10 CITY TEL. NO_
' PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .1,0 ADDRESS
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RANGE—DRYER_ CWTR.HTR.— CITY TEL. NO. -
` STA.COO K_DISP.—F.A.U. CONTRACTOR
SPACE HTR. AIR COND.
ADDRESS/,,) /QTS
CLOTHES WASH._DISHWASH._ .CITY/J� /^�/��j����./L. NO/j j/ ��(,pZ?=.4
a°
FANOTHER 1.00 Q� - ;
_ LICENSE IJ O. { CLASS.•
'MOTORS,TRANSFORMERS RATING '
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
'
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
s' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -
ELECTRICAL WIRING.
.0 — 1 1.00 '
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 — 10, 3.00LICENSED AS REQUIRED BY LOS ANGELES COUNT)' AND STATE OF
�. CALIFORNIA OR THAT I AM THEG' WEER* F, AND INTEND TO D.
10 — 50 5.00 RESIDE fN,' 'THE ABOVE f1ESCR IRED � SI E'NTIAU PROPERTY: n O
V
50 100 10.00 OIF PERMITTEE - K
100 — 500 15.00
F 4DISTRICT N ` GROUP NE P OCESSED BY ~
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 UJ
TUBE, OR 0-
MARQUEE
fi MARQUEE ADDITIONAL CIRCUITS 1.00 N
y ,:'NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 - Q
. •,
gg SERVICE OVER 600 VOLTS OR 200 AMP 5.00 -
i4'
TEMP SERVICE, POLE, &APPURTENANCES 3.00APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
FROUGH
WORK
NDUIT
PERMIT FEE (SUB TOTAL)PLAN CHECK FEE (50% PERMIT FEE) THORIZED
PERMIT ISSUING FEE 2.00 .NOTIFIEDSUPPLEMENTARY PERMIT ISSUINGFEE1.00
TOTAL FEE Q JOSEPH C. ROOHAN
�. ,�.. - — � ;.�. .-p, - „- F '° SUPERVISING ELECT ICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
► 1 8 0 3 2 MAR 17 � D 5 cc-Of eJ
iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �-�1'!//i!�✓hG't�YVC/