HomeMy Public PortalAbout4942AGNES AVE_Electrical (2) 76A663 CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT '
COUNTY OF LOS ANGELES `
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER C
WILLIAM A JENSEN SUP T OF BUILDING LOCALITYG Ty
NEAREST
OR APPLICANT TO FILL IN CROSS ST L p tv
RECEPT TOTALNO EACH FEE
OUTLETS FIRST 20 $20 $ OWNER i
LIGHT MAIL
SWITCHADD L 10 ADDRESS
OVER 20 / ]—
TOTAL CITY L(� TEL NO
LIGHTINGJ57F7R5T2O 20 �
FIXTURES ADD L 10 ELECTRICIAN
OV R 20
RANGESX CLO DRYERS WTR HTRS 100 O?> ADDRESS {`
GARB DISP STA COOK /— / 2
CITY � c C TEL NO V
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (yY H P MAX) g0 LICENSE NO
MOTORS OVER NOT OVER H P DISTT GROUP Z NE PRO BY
O 1 100 -C
1 a 150 , INSPECTION RECORD n
a a 200
8 Is 250 af4 A
15 50 300
C y CL
50 100 500 f1 0
SIGNS NO TRANS _ p+ 0 ' 99
NO LAMPS O
H
SERVICE O 600V NOT OVER 200A 100 d U
W
SERVICE 0 600V OVER 200 A 200 N
SERVICE OVER 600V 500 ?
c
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
r
TOTAL FEE w
1 HEREBY ACKNOWLEDGE THAT I 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 A J
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR V'Q
LICENSED AS REGUI BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR T T AM LEGAL OWNER OF THE ABOVE
DESCRIBED REBID TIA P Y POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE / /� -
FINAL
�LI ARTHUR C VETT
CK MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER
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