HomeMy Public PortalAbout4910AGNES AVE_Electrical (8) 76A663 C�6 4 65 APPLICATION FOi(ELECTRICW PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRE7SS
BUILDING AND SAFETY DIVISION -C S
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING FOR APPLICANT TO FILL IN .�
RECEPTACLEI TOTAL NO EACH FEE
JIIS OUTLETS I FIRST 20 $20 S OWNER
LIGHT MAIL
ADD L ADDRESS
SWITCH OVER 20 IO
TOTAL
LIGHTING FIXTURES FIRST 20 20 CITY TEL NO
FIXTURES ADD L f0 CONTRACTOR v ..e
OVER 20 f
RANGES CLO DRYERS WTR HTRS 100 ADDRESS ` q
O &1 �C W
GARB DISP STA COOK f
CITY �// L? TEL NO
DISHWASH AUTO
�QSTATE L 9
SPACE HTRS STA APP (I/a H P MAX) 50 LICENSE NO d
MOTORS OVER NOT OVER HP DISTRICT NO I GROUP ZONE R C BY
O 1 100
1 s ISO INSPECTION RECORD
s B 200
a 13 250
is 50 300
50 foo 5 0o U
m
SIGNS NO TRANS
NO LAMPS O I0
SERVICE O 600V NOT OVER 200A 100 Q
N
SERVICE O 600V OVER 200 A
200 Z
SERVICE OVER 600V 500
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE loo O
TAL FEE ® !S a ,fid APPROVALS DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 AAVF READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
WIRING
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIR BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM THE LEGAL OWNER OF AND INTEN O POWER
RESIDE IN THE AGO
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE UTILITY CO NOTIFIED -
OF PERMITTEE FINAL
LIDATION J SEPH C R00HAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
5 1 8 7�s OCT 7 2 D 2.5 0- Q