HomeMy Public PortalAbout5002AGNES AVE_Electrical (3) 76A663 CE806 8-62 APPLICATION FOR EL CTRICAL PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER /
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY 7G
NEAREST
FOR APPLICANT TO FILL IN cRoss ST p U
RECEPT TOTAL NO EACH FEE
OUTLETS FIRST 20 $20 $ OWNER
LIGHT MAIL
ADD L 10 ADDRESS
SWITCH
OVER 20
1:�TOTAL CITY TEL NO
LIGHTING 11RsT20 20
FIXTURES ADD L 10 ELECTRICIAN a
OV R 20
RANGES CLO DRYERS WTR HTRS 100 ADDRESS ! /� / / (1
GARB DISP STA COOK
CITY y TEL NO t
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (ys H P MAX ) 50 LICENSE NO
MOTORS OVER NOT OVER HP DISTRICT NO GROUP ZONE P SSED BY
O 1 100
I 3 150 INSPECTION RECORD
'
3 a 200 V q/3 -It
8 15 250 /
15 50 300
O_
50 too 500 O
u
SIGNS NO TRANS
NO LAMPS
FO
-
SERVICE O 600V NOT OVER 200A 1100 -�' G
W
SERVICE O 600V OVER 200 A 200 N
SERVICE OVER 600V Soo Z
MISC
PERMIT ISSUING FEE 1200
SUPPLEMENTAIRY PERMIT ISSUING FEE 1100
TOTAL FEE $
LNIDBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
LL COUNTY ORDINANCES AND STATE LAWS REGULATING
CAL WIRING WIRING
EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
NIA OR7H I AM T LEGAL OWNER OF THE ABOVE
ED ROR TH IA PROP Y POWER
URE UTILITY CO NOTIFIED
MITTEE
FINAL G
IDATION ARTHUR C V;It
C MO CASH SUPERVISING ELECTRICAL ENGINEER