HomeMy Public PortalAbout5729AGNES AVE_Electrical 76A663-CES06 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
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO EACH FEE
LIGHT OUTLETS FIRST 20 / $20 $ ^ �Q OWNER
[ MAIL
ADDL1O ADDRESS
SWITCH OVER 20
TOTAL I CITY TEL N
LIGHTING 1 F1R5T 20 20
FIXTURES 1( ADD L 10 ELECTRICIAN
OV R 20
RANGES CLO DRYERS WTR HTRS 100 ADDRESS
GARB DISP STA COOK CITY T �U
DISHWASH AUTO WASH rDISTRICT
,(�
SPACE HTRS BTA APP ('/a H P MAX) 50 (J
MOTORS OVER NOT OVER H P N G!r
O 1 100 er13 1SoINSPECTION R CORD
s B 1200
8 15 250
15 50 3 00 }
a
50 100 Soo O
V
NO TRANS
SIGNS NO LAMPS �0
SERVICE O 600V NOT OVER 200A 100 Iv
SERVICE O 600V OVER 200 A 200 0-
N
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 1200
SUPPLEMENTA(3Y PERMIT ISSUING FEE 100
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8 SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �]
ELECTRICAL WIRING WIRING PCS J/
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR �" IF
LICENSED AS REQUIRED BY LOS ANGELES C UNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM TIX LEGAL NER OF THE ABOVE G
DESCRIBED RESIDE L Y POWER
y
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE
FINAL
VAL (!::14 ARTHUR C`VEIT
MO
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
Lt'lL0 7 2 0 E,ZS' PPR 1 2 D 2.7 0~ �,