HomeMy Public PortalAbout4943AGNES AVE_Electrical (2) 76AG63 CE806 IO 36 APPLICATION FOR ELECTRIC PERMIT
BUILDING AND SAFETY DIVISION
Depa, ent of County Engmeer BUILDING
County of Los Angeles ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY N,
NEAREST
FOR APPLICANT TO FILL IN Ros T
PERMIT FEES n
LIGHTS RECEPTACLES SWITCHES OWNER
NUMBERI ITEM $ ADDRESS EACH $ FEE MAIL 9�� Lr,,x, a.�._./
TOTAL OUTLETS 10
ELEC RANGES WATER HEATERS CITY \ AlTEL O
CLOTHES DRYERS 50 ELECTRICIAN L°.
ELEC SPACE HEATERS STAT Y COOK
ING UNITS GARBAGE DISPOSERS ADDRESS Al-�3 >)AUTO ♦ ���
LIGHTINGWASERS
205
,LI CITY TEL NO
MOTORS STATE
LICENSE NO
HORSEPOWER
H P OVER INC DISTRICT NO GROUP ZONE READY FOR INSPECTION
I/2 &LESS 25
2 50 INSPECTION RECORD
2 5 1 00
5 15 1 50
15 50 250
50 200 5 00
MISC
SIGNS No TRANS
NO LAMPS
SERVICE O 600V 1 00
SERVICE OVER 600V 500
WIRING PERMIT 1 00
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT 1 50 APPROVALS
TOTAL FEE 3 DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT f
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RES IDENT JA 0PERTY
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE &AI�A
t/
FINAL
///���7 �E
ECTRICAL ENGEER
JOHN A LAMBIE VALIDATISUPERVISINGGLVIT
ENGINEER NGINEBR cx Mo H
_AP-2123- SEP10 2 450