HomeMy Public PortalAbout5006AGNES AVE_Electrical (4) 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
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO EACH FEE
OUTLETS FIRST 20 $20 $ �- OWNER
LIGHT MAIL
' ADD L 10
LIGHTING F1Rsr 20 f ADDRESS
SWITCH
OVER 2O
TOTAL 20 CITY TEL-NO
�
FIXTURES ADD L 10 ELECTRICIA
OVFR 20 1
l ^�
RANGES CLO DRYERS WTR HTRS 1001 ADDRESS ! /
GARB DISP STA COOK
CITY TEL N
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (/j H P MAX) 50 LICENSE NO
MOTORS OVER NOT OVER HP DISTRICT NO GRQLIP ZONE CESSED EjY
O 1 1100
1 3 150 INSPECTION RECORD
3 8 200
8 15 250
15 50 300
a
50 100 Soo 0
SIGNS NO TRANS
C
NO LAMPS
O
t�
SERVICE O 600V NOT OVER 200A 1100 W
a
SERVICE O 600V OVER 200 A 1200 � y
SERVICE OVER 600V 5 00
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 1100
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
D
�4
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY EGISTERED AND/OR C
LICENSED AS REQ ED BY LOS ANGELES C NTY AND STATE OF FIXTURES
CALIFORNIA OR H T 1 THE LE AL NE OF THE ABOVE
DESCRIBED REST
-RV
IAL OPERTY POWER
SIGNATURE All UTILITY CO NOTIFIED
OF PERMI
FINAL �{
VALIDATION AR HUR C VEIT
MO CASH N SUPERVISING ELECTRICAL ENGINEER
3 3 7,v" FEB 28 2 A 1 A 40-