HomeMy Public PortalAbout5227AGNES AVE_Electrical t
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 �J / �/
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY /1/ P� eI�/
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO EACH FEE �- ✓1
OUTLETS FIRST 20 S 20 $ OWNER /v/ P
LIGHT I MAIL S C
SWITCH ADD L t0 ADDRESS
OVER 20 ice.
TOTAL CITY
OV R 2O
el/TEL NO
LIGHTING FIRST L 20
FIXTURES ADD L 1O ELECTRICIAN
RANGES CLO DRYERS WTR HTRS 1 00 ADDRESS
GARB DISP STA COOK CITY TEL NO
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (y.H P MAX) 5O LICENSE NO 5�
MOTORS OVER NOT OVER HPDISTRI T N GROUP NE PR E ED BY
O 1 1 00 V —�
1 s ISO INSPECTION RECORD
a s 200
ao
8 15 250
IL
50 100 5 00 OU
SIGNS NO TRANS ' Ix
NO LAMPS tt _--- l (0
SERVICE O 600V NOT OVER 200A 100 I '1 ri
SERVICE O 600V OVER 200 A 200 N
Z
SERVICE OVER 600V .500
�s
MIS C�
ERMIT SUIN FEE 200
SUPPLEMENTA Y PERMIT ISSUING FEE 100
TOTAL FEE i
C
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8 SIGNATURE
AND STATE THAT THE ABOVE 19 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
DESCRIBED RESIDENTIAL PROPERTY POWER
SIGNATURE UTILITY CO NOTIFIED - W
OF PERMITTE FINAL - 1 Lo-1 /
VALIDATION---) ARTHUR C VETT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LA,o 6 5 1 9 DEC 7 2 D 3 00- CL