HomeMy Public PortalAbout5234AGNES AVE_Electrical 76AJI.3 6liL�OS 1,/7D APPLICATION FOR ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Z�� C-AIZS
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY TP.M L!i C
NEAREST L
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE
OWNER d
RECEPT 1-17/ $ $ AMA L
DDRESS tS
LIGHT 06 TOTAL FIRST 20 Zy) 25
CITY e C�� TEL NO iii-y6s�
SWITCH 7 OVER 20 10
PLAN CHECK
LIGHTING TOTAL FIRST 20 6 25 APPLICANT
FIXTURES p
/ 10
OVER 20 ADDRESS
APPLIANCES CITY T TEL NO
RANGE DRYER_WTR HTR_ APPPERLIT
ICANT - / ,mz� A Ame 9--
STA COOK DISP F A U / ADDRESS Aq O f, C iS's
SPACE HTR AIR COND CITY S TEL NO 33.9-6;L
CLOTHES WASH -/—DISHWASH LICENSE NO Z6 4*9S3 CLASS C-/a
FAN I OTHER 100 /? 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
V AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE IN TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
1 - 10 300 RESIDE N THE ABOVE DESCRIBED RESIDENTIAL PROPERTY O-
O
10 - 50 500 SIGNATURE V
OF PERMITTEE 4F J7574-r%.,�
OC
50 - 100 1000 DISTRICT NO CLASS ZONE P O SS Y �;0;;
100 - 500 1500 t D ,-
a
SIGN GAS=ND ONE CIRCUIT 500 NOTES N
Z
TUBE OR -
MARQUEE ADDITIONAL CIRCUITS 100
SERVICE NOTOVER 600 VOLTS OR 200 AMP 300
SERVICEOVER600VOLTSOR200AMP 1000 APPROVALS DATE NSPECTOR S SIGNATURE
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 500
UNDERSLAB WORK r
TEMP LIGHT OR RECEPT SYSTEM 300 y
ROUGH CONDIUT
WIRING 1
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINALP171 fbl'�
PERMIT ISSUING FEE 300
JOSEPH C ROOHAN
TOTAL FEE � '� �� SUPERVISING UELEICAL ENGINEEP
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATIONM 0 CASH
rn 0& JUL 22 2 D 1 7 20
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE