HomeMy Public PortalAbout5738AGNES AVE_Electrical (3) 76A663-CE806 3-69
-APPLICATION F R ELECTRICAL PERMIT
a .
CUUNTY OF LOS ANGELES
DEPARTMENT QF COUNTY ENGINEER BUILDING ( Z-
BUILDING AND SAFETY DIVISION ADDRESS O
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NO. EACH FEE
$ $ OWNER
RECEIPT. ' MAIL -7 AGWES
^''�^
FIRST 20 �(� 20 ,` ADDRESS M
LIGHT� TOTAL �! y
14-
SWITCH OVER 20 L� .10PLAN
CITY _- �i �i Tp�ELp.N�`O. �.��`
APPLCHECICANTK
LIGHTING LL&—
OTAL FIRST 20 .20 (�
FIXTURES OVER 20 ,10 ADDRESS 36 P6Krr,-S WO
RANGE_DRYER_WTR. HTR.
CITY (L6 C, TEL.NO.
CONTRACTOR N
STA. COOK�DISP. _F.A.U.� �S f`•E'
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH. OISHWASH. CITYTMRV v C'yTEL.NO.f61-1,2
24
FAN_OTHER 1.00 :j LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING / 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO '>
RESIDE IN, THE ABOVDES I RESI AL PROPERTY. rLc
10 — 50 5.00 L
SIGNATURE /
50 - 100 10.00 OF PERMITTEE
!-
100 - SOO 15,00 DISTRICT NO. GROUP IZONE If I SSED BY W
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 �i� V -z - Z
TUBE, OR �"„•'
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: �` �/ ,fi:� -;=L42
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 Qv UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL lb "22,
TOTAL FEE JO EPH C. ROOHAN
i v SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CKr M.O. CASH PERMIT VALIDATION cK. M.D. CASH
f (' $ 297& JAN11 2 D 14.70N
SEE BACK OF APPLICATION FOR COMPLFTF. FEF SCHFOULF / k
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