HomeMy Public PortalAbout9564BISBY ST_Electrical 76AOM-CEBU 9--67 .. APPLICATION FOR ELECTRICAL PERMIT l
e0UNTY OF LOB ANGELES
DEPARTMENT OF COUNTY ENGINEER rAD
DING
BUILDING AND SAFETY DIVIBION KESSJOHN A. LAMBIE, COUNTY ENGINEERCOLEMAN W. JENKINS, SUF'tR1NTIENDB.NT OF BUILDINGALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OWNER h MHs v
RECEPT.
MAIL
LIGHT ;TOTAL FIRST 20 .20 ADDRESS
Ze s7
SWITCHOVER 20 .10 CITY r±±tkg22& Cl TE�L. NO.
LIGHTING 1 TOTAL FIRST 20 2 .20 CONTRACTOR yL
FIXfiURES -1:-1- OVER 20 .10 ADDRESS
RANGE-DRYER-WTR.HTR.- CITY TEL. NO.
STA.COOK_DISP.-F.A.U. LICENSE NO.
SPACE HTR. AIR COND. I HEREBY ACRNOWL[D 6 THAT I HAVE READ THIS APPLICATION
AMD NATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WAS H._D13HWAS H....� WITH ALL COUNTY ORDINA MC KS AND [TAT[ LAWS REGULATING
E-ECTRICAL WIRING.
FAN OTHER 1.00 bO I HEREBY CERTIFY THAT I AM PROPERLY REGIST[R[D AND/OR
LICENSED AS RBQUIR[D BY LOS ANG[L[S COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFOFINIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND 70
IND. HEATERS, ETC. HP. KW. KVA. RES DL IN, THE ABOV¢ D GCRI D R I ENTIAL PROPERTY.
SIZE h TYPE OVER TO SIGNATURE f r ��
0 — 1 1.00 OF PERMITTEEIS
Q
1 - 10 3.00 Q!JTRICT NO GROUP ZONE PR ESSED BY U
10 - 50 5.00 J,b V I j /G }Disc
80 — 100 10.001 NOTES:-
100
OTES:100 — 500 15.0 C
SIGN,GAS SI GN.AND ONE CIRCUIT 9.00
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 6ti0 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR AMP 5.00
TEW SERVICE, POLE, &APPURTENANCES 9.00
APPROVALS DATE INSPECTOR'S BISIKATUR[
TEMP. POWER PALE
UNDERSLAB WORK
ROUGH CONDUIT
ISSUING FEE 2.001
WIRING
FIXTURES
SUPPLEMENTARY ISSUING FEE 1.00
POWER AUTHORIZED
PERMIT FEE UTILITY CO.NOTIFIED_-
PLAN CHECK FEE (50% PERMIT FEE) FINAL aj
TOTAL FEE -2O JO P C. ROOHAN
SUPERVISINd ELECTRI L ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CM.O. cABH
52 4 5!S JUN 27 D
SEE SACK OF APPLICATION FOR COMPLETE FEE SG-IEDULE