HomeMy Public PortalAbout5745AGNES AVE_Electrical (3) 76AG63-CE60610-69 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES H@(�
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS ,5
JOHN A. LAMBIE, COUNTY ENGINEER A ��
WILLIAM A.JENSEN,SUPT of BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
C'if7�F"
I T E M NUMBER OWNER EACH FEE MAIL
OUTLETS: $ $ ADDRESS
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES 10 CITY // TEL.NO.
ELEC.RANGES — i7
CLO.DRYERS _ ELECTRICIAN !-w;,c
WATER HEATERS .50 U ADDRESSJJ� cS' / /,�S Z -y/e� /
ELEC.SPACE HTRS. DISHWASHERS TEL. NOS?/7 (C�
GARBAGE DISPOSERS AUTO.- STATE 6"f / 6-d
'r_�YJ.�/�Cd7
WASHERS STA.COOKING UNITS .25 LICENSE NO. L(�J yr
MOTORS: OVER INC. H.P. DISTRICT NO. I GR J� Z E PROCESSED BY
O— 1/2 .25 �/
1/2— 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00 �U
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 Q
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM—B40PERV REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LO9 AN COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM/7HE OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPER POWER
SIGNATURE l/ UTILITY CO.NOTIFIED
OF PERMITTEE TCva l./Ci51•Icr. ,
FINAL
®r TION ARTHUR C.VETT,
cK cases SUPERVISING ELECTRICAL ENGINEER
LACO 9 7 7 11 APR 2 5 2 A 2.5 0