HomeMy Public PortalAbout9156 JAYLEE DR_Electrical_8/29/1967_electric amps 76A663-CE8061-67 APPM UEDN FOR E.dEOMCS d PER OI
COUNTY OF LOS ANGELES 1s0.,, s•,.:4:
DEPARTMENT OF COUNTY ENGINEER fS BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING• F LOCALITY
NEAREST Q
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO, EACH FEE
LIGHT 1 OUTLETS FIRST 20 $.20 $ '!'
OWNER ��,ria M !'1Z�1�R
MAIL
SWITCH J ADD'L 1O ADDRESS
OVER 20
TOTAL FIRST 20 .20 CITY Q, 1 TEL. NO. f.
LIGHTING 1 FIXTURES �`
FIXTURES )( ADD'L
OVER 20 R1 10 CONTRACTO ,t
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS Cl 6 C>t:6 1G-43 T�C.�Q 4
GARB.DISP. STA.COOK � 1
CITY V� ` TEL.NO.L O&—2_t
DISHWASH. AUTO.-WASH. STATE q ✓ '�'
SPACE HTRS. STA:APPL. .SO LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. P D
L' O 1 1.00
1 - 3 1.50 INSPECTION RECORD
S 8 2.00
8 15 2.50
15 50 3.00
a
50 100 5.00
SIGNS: NO.TRANS O
NO.LAMPS
i ~
SERVICE 0.600V-Not OVER 200A 1.00 ,�'._� LLj
CL
SERVICEO.60OV-OVER 20P A. 2.00 _ e'l U)
Y SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
tl"I
PERMIT ISSUING FEE 2.00 on
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERS LAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY •, ROUGH CONDUIT •-
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -
ELECTRICAL WIRING. WIRING
I HEREBY CERZS
2BE
ROPERLY REGISTERED AND/OR '. FIXTURES
LICENSED AS REGELE COUNTY AND STATE OF
CALIFORNIA OR TALO R OF,AND INTEND TO POWER
RESIDE IN,THE AES T L OP RTY.
SIGNATURE I UTILITY CO.NOTIFIED Y �� �
OF PERMITTEE ('s,
_ .r.• - - .,q+:' a ✓Y' FINAL -4
(ZLIDATION JOSEPH C. RO HAN
K) MO CASH SUPERVISING ELECTRICAL ENGINEER
; i 00 3 5 3'Co- AUG 9 2 D 5.00