HomeMy Public PortalAbout5136AGNES AVE_Electrical (5) 76A663 CE806 1 67 APPLICATION FOR ELECTRi AL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER t
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY C�
NEAREST ��
FOR APPLICANT TO FILL IN cRos6 ST �O
RECEPT 1 OUTLETS TOTAL NO EACH FEE
FIRST 20 $ 20 $ OWNER y
LIGHT J} MAIL
DADD L 10 ADRESS
SWITCH
OVER 20
TOTAL FIRST 20 20 CIT TEL NO
41 6-1 517
LIGHTING 1___ ____4 FIXTURES
FIXTURES ADD L OVER 20 10 CONTRA TOR
RANGES DRYERS WTR HTRS 1 00 ADDRESS '//jFEL N
GARB DISP STA COOK CITY -,-` LL /O
DISHWASH AUTO WASH STATE
SPACE HTRS STA APPL 30 LICENSE NO
MOTORS OVER NOT OVER H P DISTRICT O GROUP ZO E P OCAS D BY
O 1 100 f9P
I 3 150 INSPECTION RECORD
9 B 200 �. A-114
B 1 s 250
15 so 300
so too 500 � r /� O
V
SIGNS NO TRANS .{ /� /��
NO LAMPS S .�J a f�Al it/ /L �./4Jiw-f �10..�
SERVICE O 600V NOT OVER 200A too 06
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500 (��•6 U "'141
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100 APPROVALS DATE INSPECTOR 8 SIGNATURE
TOTAL FEE $ 3
UNDERSLAB WORK
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT n
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
WIRING e) 1 11 /0
7
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 7
FIXTURES r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO POWER �/ A
RESIDE IN THE ABOVE DESCRI D RESIDENTIAL P OPERTk c // Q
SIGNATURE UTILITY CO NOTIFIED d 1 h 1 I I _,i i t r{ f%-A
OF PERMITTEE
FINAL V!, g s�.i U
® 6
VALIDAQ� JOSEPH S ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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