HomeMy Public PortalAbout5211AGNES AVE_Electrical (4) c
.°Aa83 CEBOB IQ 60 APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS /ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING r-- V L
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER :7::r y
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY G L I
NEAREST
FOR APPLICANT TO FILL IN CROSS ST NILOANAlS
PERMIT FEES OWNER AIP.
=
I T E M NUMBER1 EACH I FEE MAIL
ADDRESS /V ��
LOI OHTST RECEPT SW $
I0 $ CITY �� EL NO
LIGHTING FIXTURES 10 /—
ELEC RANGES CLO DRYERS ELECTRICIAN O LL (2
WATER HEATERS SO ADDRESS
ELEC SPACE HTRS DISHWASHERS1
CITY � L NO L./ 3 Yr-/O
GARBAGE DISPOSERS AUTO STATE
WASHERS STA COOKING UNITS 25 LICENSE NO
Ftj
MOTORS OVER INC H P DISTRICT Q G OUP ZON I P SSED BY
O— 1/2 2 5
1/2- 2 5O INSPECTI N RECORD
2— 5 n.
1 00
5— 15 15O V
15— 50 250 O
5O— 200 509
SIGNS
NO TRANS d NO LAMPS h Z
SERVICE O 600V 1 00
SERVICE OVER 600V 500
MISC
WIRING PERMIT 1 00 too
FIXTURE PERMIT 1 00 D
SUPPLEMENTARY PERMIT 50
TOTAL FEE
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE 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 REGISTERED AND/OR /^
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE i
DESCRIBED RESIDENT)A PROPE TY POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE LFINAL
A DATION ARtHUR C VEIT
cK MO CASH �7J SUPERVISING ELECTRICAL ENGINEER
LPL92971 Ju14 ��� 2 D 405Ip
_1