HomeMy Public PortalAbout4949AGNES AVE_Electrical (15) 76A663 CES06 10 62 APPLICATION FOR ELECTRI AL PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRES Q l/ s
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY /7-
NEAREST NEAREST
FOR APPLICANT TO FILL IN CROSS STS
RECEPT TOTAL NO EACH FEE
OUTLETS FIRST 20 $20 $ OWNER
ov
LIGHT MAIL
SWITCH ADD L ADDRESS �r
OVER ZO 10
LIGHTING l TOTAL FIRST 20 20 CITY TEL NO ,Qd
FIXTURES ADDL
OVER
20 10 ELECTRICIAN
RANGES CLO DRYERS WTR HTRS loo ADDRESS
GARB DISP STA COOK
CITY TEL NO
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (/.HP MAX ) 50 LICENSE NO
MOTORSOVER NOT OVER H P DISTRICT NO GSR UP Z NE P O E D BY
O 1 100
I 3 15o INSPECTION RECORD
a
3 s zoo 0
$ 15 250 u
15 50 300 O
50 100 500 (LLV-1
d
SIGNS NO TRANS
NO LAMPS
SERVICE 0 600V NOT OVER 200A 100
SERVICE O 600V OVER 200 A 1200
SERVICE OVER 600V Soo
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE $
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 1
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI ROPERTY POWER ,�-
SIGNATURE UTILITY CO NOTIFIED q ) r
OF PERMITTEE
FINAL
VALIDATION) ARTHUR C VEITV �
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L. Co5065'a All 31 2 D 4CIpN