HomeMy Public PortalAbout5021AGNES AVE_Electrical (4) 76 663 CEI 606 9 64 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING O '
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER •..AA t1 J
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY �l \� ( 1
NEAREST
FOR APPLICANT TO FILL IN cRoss sT ex- v$ mx
RECEPT
`— I TOTAL NO EACH FEE
OUTLETS FIRST 20 $20 $ OWNER
LIGHT MAIL _
ADDL ADDRESS (� l
SWITCH OVER 20 10 RST 20GHTING 20 1
L ^� j �1
TOTAL CITY � 1L4 I`4 l.� TEL NO
I1 i FI
FIXTURES 1 ADD L 1O ELECTRICIAN C.�+�1 C
OV R 20 c
RANGES CLO DRYERS WTR HTRS 1 00 ADDRESS S S Y4_ Q
GARB DISP STA COOK CITY \,-V$ (� �p TEL NO �Z Z OO
DISHWASH AUTO WASH I STATE
SPACE HTRS BTA APP (I/a H P MAX ) 50 LICENSE NO S
MOTORS OVER NOT OVER HP DISTRICT GROUP I PNE7�PR C S Wy
O 1 100
1 3 150 INSPECTION RECORD
3 a 200 a
O
8 15 250 V
15 50 1300 OC
O
H
50 too 5 00 V
W
SIGNS NO TRANS H
NO LAMPS
Z
SERVICE O 600V NOT OVER 200A 100--/
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500
MIS
I
PERMIT ISSUING FEE 00
SUPPLEMENTAgY PERMIT ISSUING FEE 1100
TOTAL FEE $ is
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION APPROVALS DATE ONSPECTOR 6 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING ✓
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES Y
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM EG
GAL OWN R OF A I
RESIDE IN THE ABOVE E ESIDENT PR TY POWER
SIGNATURE ITY CO NOTIFIED
OF PERMIT
FINAL
VALM CASH
JOSEPH C ROOHAN
CK M CASH ` SUPERVISING ELECTRICAL ENGINEER
LA�o9489','oD FEB 8 2 D 300-
GL"_ -