HomeMy Public PortalAbout4907AGNES AVE_Electrical 7GA663-CES06-10.56 APPLICATION FOR ELECTRIC PERMIT 4
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING
County of Los Angeles ADDRESS f' f
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY
hi, NEAREST
FOR APPLICANT TO FILL IN CROSS ST. ¢
PERMIT FEES
OWNER
LIGHTS RECEPTACLES SWITCHES
NUMBER 1 T E M EACH FEE MAIL
ADDRESS
TOTAL OUTLETS $ .10 $
ELEC. RANGES, WAFER HEATERS, CITY TEL. NO. _
4 CLOTHES DRYERS .50 ELECTRICIAN
ELEC. SPACE HEATERS, SLATY. COOK-
ING UNITS, GARBAGE DISPOSERS,
AUTO .WASHERS, DISHWASftR .25 ADDRESS
LIGHTING FIXTURES ,10 CITY TEL. NO.
.f.
MOTORS - STATE t I �-•t,
LICENSE NO. tY
HORSEPOWER
H.P. OVER INC. DISTRICT NO. I GROUP ZONE READY FOR INSPECTION
I/2 &LESS .25
a 1/2 - 2 .50 INSPECTION RECORD
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00
i
MISC.
SIGNS I NO.TRANS
NO.LAMPS
SERVICE O-600V 1.00
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00 )
FIXTURE PERMIT 1.00,
SUPPLEMENTARY PERMIT .50 L
APPROVALS,
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS P 1 A Ij?N
AND STATE THAT THE ABOVE IS CORRECT AND AGRi T 0 L CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS •'S
ELECTRICAL WIRING. WIRING .�. �,,.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/UR FIXTURES Jr `L`r"- �"•--••
LJCEN$ED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CAALIFORNIq.OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER i
DES OR
PROPERTY.
'SIGNATURE UTILITY CO. NOTIFIED
OF PERMITTEE a - .L
FINAL
JOHN A. LAMBIE, VALIDATICIN, ARTHUR C.VEIT,
COUNTY ENGINEER CK MO 'GASH N SUPERVISING ELECTRICAL ENGINEER
5 G4