HomeMy Public PortalAbout4904AGNES AVE_Electrical (4) 76AIS63 CES06 6/63 APPLICATION FOR ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
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BUILDING AND SAFETY DIVISION ADDRESS p
JOHN A LAMBIE COUNTY ENGINEER �t
WILLIAM A JENSEN SUPT OF BUILDING LOCALITY Temple Cit
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO EACH FEE Bolton
OUTLETS FIRST 20 S 20 S OWNER
LIGHT MAIL
ADD 10 ADDRESS
SWITCH OVER 20
LIGHTING CITY TEL NO
1 TOTAL FIRST 2O 20
FIXTURES 1 OADR L 10 ELECTRICIAN COBINE ELECTRIC Co ]In
RANGES CLO DRYERS WTR HTRS 100 ADDRESS 2225 Charnwood Ave
GARB DISP STA COOK CITY Alhambra TEL No 2820315
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (W H P MAX) so LICENSE NO 187004
004
MOTORS OVER NOT OVER HP DISTRICTyy PO 17 P Z NE JPRW
ED B
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O 1 100 �
1 3 ISO INSPECTION RECORD
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8 IS 2 SO u
15 so 300 ix
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NO TRANS D_
SIGNS NO LAMPS Z
SERVICE O SOOV NOT OVER 200A 1 100 1 0
SERVICE O SOOV OVER 200 A 2001
SERVICE OVER 600V S 00
MISC
PERMIT ISSUING FEE 1200 2 00
SUPPLEMENTARY PERMIT ISSUING FEE 1100
TOTAL FEE 8 3 00
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 9/414AJ
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0,
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNUF.tlT�HAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDEENTIA PROPERTY POWER ..tt
SIGNATURE \ A UTILITY CO NOTIFIED \ #&)f W w
OF PERM17E FINAL 111—t ,
C/VALLIDATION ARTHUR C VEIT
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MO CASH SUPERVISING ELECTRICAL ENGINEER
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