HomeMy Public PortalAbout4942AGNES AVE_Electrical 76A663-CE806 B-62 APPLICATION FOR ELECTRICAL PERMIT Al
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
G
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER L E t
WILLIAM A JENSEN SUP T OF BUILDING Y
-IFOR APPLICANT TO FILL IN (,J
RECEPT TOTAL NO EACH FEE
OUTLETS FIRST 20 $20 $ OWNER r
LIGHT ADD L '� MAIL /•
Id
SWITCH OVER 20 10 ADDRESS /'� (�
LIGHTING 1Ir TOTAL F— 7 20 20 CITY Gig TEL NO
FIXTURES I ADD L 10 ELECTRICIAN
111 O V R 20 ��y)
RA CLO DRYERS WTR HTRS 100 ADDRESS L I V
ARB D18 BTA COOK /'` C i� TEL NO '/ IC
CITY
DISHWASH AUTO WASH STATE j
SPACE HTRB STA APP (/¢H P MAX ) 50 61(� LICENSE NO /
MOTORS OVER NOT OVER HP DIST ICTp�� GROUP Z NE P ESSED B
O 1 100 �� 7
1 3 150 INSPECTION RECORD
3 8 200 -
8 15 250 /
15 50 300 }
a
50 100 500 O
U
SIGNS NO TRANS CLO
NO LAMPS
O
SERVICE O 600V NOT OVER 200A 1100 W
SERVICE O 600V OVER 200 A 200 D_
N
SERVICE OVER 600V 500 Z
MISC
PERMIT ISSUING FEE 2 00
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE $ 4
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING A
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LO ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR TH 1 AM E LEGAL OWNER OF THE ABOVE
DESCRIBED REBIDEN I Y POWER
SIGNATURE UTILITY CO NOTIFIED
OFF /�3
FINAL
VALIDATE ARTHU C VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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1 0 1 3 G OCT 4 2 A 2.10-
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