HomeMy Public PortalAbout9167 JAYLEE DR_Electrical_10/15/1971_electrical panel �/p�� �I1I �(/�� M Fay
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COUNTY 60"LOS ANGELES"
DEPARTMENT.OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �-
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCA LgIT
NEAREST
FOR APPLICANT TO FILL IN CROSS ST, _
OUTLETS NO. EACHI FEE _
OWN E A
RECEPT._ $ $ MAIL
FIRST 20 ADDRESS, 7
LIGHT TOTAL .25�
OVER 20 CITY ` �. .._' TEL.. N0.
SWITCH_ 10 PLAN CHECK.
LIGHTINGTOTAL FIRST 20 25 APPLICANT _
FIXTURES
OVER 20 .10 ADDRESS
APPLIANCES CITY TEL. No.
PERMIT
RANGE DRYER WTR. HTR. APPLICANT
STA. COOK DISP. •F.A.U. ADDRESS
SPACE HTR. -A[R CONO.� CITY TEL. NO.
CLOTHES WASH.' , DISHWASH. LICENSE NO. ". CLASS.
FAN OTHER 1.00 . 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. .ELECTRICAL WIRING..
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO �..
1 - 1 O 3.00 RESIDE IN, THE ABOVE' DESCRI ED RESIDENTIAL. PROPERTY. O
SIGNATURE U
10 _ 50 5.00 OF PERMITTE
d'
50 - 100 10.00 0
DISTRICTNO. 2-0NE SSED BY
100 -*500 15.00 / �d.��CQo a
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES:.
IA H
TUBE, OR ' ?
MARQUEE ADDITIONAL CIRCUITS 1.00 .,.� 7
SERVICENOTOVER600VOLTSOR200AMP 3.00 . .
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER600VOLTS OR200AMP•". 10.00
TEMP.POWER POLE
TEMP,SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK .
TEMP LIGHT OR RECEPT. SYSTEM 3.00 -
ROUGH CONDI UT
WIRING
FIXTURES.
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED,
PLAN CHECK FEE
FINAL J /
PERMIT ISSUING FEE 3.00 �j ()• JOSEPH C- ROOHAN
TOTAL FEE .�� - SUPERVISING ELECTRICAL ENGINE ,
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M. CASH
LACO..2 3 6: 44__`. ILT 15 2' D 6.0 ON Q
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE .. --• -