HomeMy Public PortalAbout5028AGNES AVE_Electrical (4) 76A663CE806 1157 • _PPLIC• _ • I0• " FOR o ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING w
BUILDING AND SAFETY DMSIONMBADDRESS 6C
JOHN A LAIE County En eer �
CASSATT D GRIFFIN Supt of Suildmg LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES
ITEM NUMBER EACH FEE OWNER
IIE
OUTLETS $ $ MAIL
LIGHTS RECEPT SW 10 D ADDRESS
LIGHTING FIXTURES , 10 t CITY T NO
ELEC RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS 50 ADDRES
ELEC SPACE HTRS DISHWASHERS
GARBAGE DISPOSERS AUTO CITY TEL NO
WASHERS STA COOKING UNITS 25 STATE �/�
MOTORS OVER INC H P LICENSE NO (0
o — 1/2 25 DISTRICT NO G UP ZONE READY FOR/NSPECTION
1/2 — 2 50
INSPECTION RECORD
2 — 5 100
5 — 15 1 50
15 — 50 250
50 — 200 500
SIGNS NO TRANS
NO LAMPS
SERVICE 0 600V 100
SERVICE OVER 600V Soo
i
MISC
r n a P i
1
WIRING PERMIT 1 00 O
FIXTURE PERMIT 1 00 490 /
ti
SUPPLEMENTARY PERMIT 50 ,
TOTAL FEE $ APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE IN S IGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING 6
I HEREBY CERTIFY ',,ITAT 1 AM PROPEfJL REGISTER AND/OR FIXTURES 1
LICENSED AS REQUIR b BY LOS ANGELF�S OUNTY A STATE OF
CALIFORNIA OR THAT I AM THE LEG L OWNER 0 THE ABOVE POWER
DESCRIBED RESIDENTI L PROPER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITi FINAL �l
l l
YJ=A
HU C VETT
C Mol' CASH CASH SUPERVISING ELECTRICAL ENGINEER
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[0304 6P JUL 21 2 A 290 �
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