HomeMy Public PortalAbout5817AGNES AVE_Electrical 76A663 cE806 9 64 APPLICATION FOR ELE.0 ICAL P9111A'1T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ■/QS
BUILDING AND SAFETY DIVISION ADDRESS M AvQ
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
NEAREST `-`
FOR APPLICANT TO FILL IN CROSS ST W
RECEPT TOTAL NO EACH FEE
LIGHT OUTLETS FIRST 20 $ 20 MAIL
$ OWNER �+ \ (V�0
SWITCH ADD L 10 ADDRESS �+�, n e� v�
OVER 20
LIGHTING T TALI FIRST 20 20 CITY ` TEL NO
FIXTURES ADD L10 ELECTRICIA
1-1 OVFR 2O
RANGES CLO DRYERS WTR HTRS 100 ADDRESS
GARB DISP STA COOK
CITY TEL NO
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (1/i H P MAX ) 50 LICENSE NO
MOTORS OVER NOT OVER H P DISTRICT NQ/ GROUP ZONE P SSED BY
O 1 100 �ff
1 3 150 INSPECTION RECORD
r
3 B 200 n.
O
8 15 250 V
15 5o 300 a,
50 100 Soo
U
SIGNS NO TRANS d
NO LAMPS to
Z
SERVICE O 600V NOT OVER 200A 100
SERVICE O 600V OVER 200A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS OATS INSPECTOR 881GNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 1
ELECTRICAL WIRING WIRING
C 1O
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS RE UIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR T I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE AB E DESCRIBED RES"V ROPERTY POWER
SIGNATURE 1 UTILITY CO NOTIFIED ��" s!6
OF PERMITTEE y� A'eA}r'
FINAL (".1 f1SCVfdS �1
�gLIDATION JOSEPH CROOHAN
( C�K MO CASH
SUPERVISING ELECLEC
TRICAL ENGINEER
l.f UO 2 8 8 2 L0 st;al 18 2 D 280-