HomeMy Public PortalAbout9582BISBY ST_Electrical (2) 76A663-c""' 4-ee APPLICATION FOR ELECTRIL MIT
COUNTY OF LOS ANGELES '
DEP RTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE,.CouNTr ENGINSQR
COLEMAN-W. JENKINS. SUPT. OF BUILDING LOCALITY
r4 MA R[ST
FOR AWCANT TO FILL IN CROEa-T. ;E;2 le 49I
RECEPTACLE TOTAL NO. uCH
UGH' Jlfl 0UTLETS FIRST 20 S.20 S OWNER us'
NAIL
SWITCH ADD'L f0 A-DDRPfD I S Is
�I
OVER 2
TOTAL FIRST 20 .20 CITY t2 Td NO.
LIGHTING FIXTURES
,FIXTUIt"
VER 20 10 CONTRACTOR e L
OVER 2
RAHGLW N
IS CO.DRYWTR. TRS- 1.00 ADDRESS
GAIUL DIST. STA.COOK CITYNo tq Ta.NO.
DI�iWASN. AUTO.-WAIN. STATE
qAc[HTRI. STA.AFF.(u H.P.MAX.) .50
LICENSE NO. O
MOTORS, Ov[R NOT OVKK H.F. DIST C'i` P
0 1 1.00 �f
I s 1.50 INSPECTION 'RECORD
s 5 2.00
6 15 ILEO
I E 50 3.00
ISO too 5.00
U
SIGNS. NO.TRAMS-
NO.LAIRS r
SERVICE 0.60OV-NoT ovol 200A / 1.00 Q
SERV ICE o.600v-ov1m 200 A. 1.00 _
PXRVICE OVER OQOV 5.00
OTHER (SIE COMFL[Y[ FQ SCH[DULA)
FERMIT ISSUING FEE 1.0o O
SUPrLIMKNTARY PERMIT ISSUING FIM 1.00
TOTAL FEE U MAT[ IN
1HfRAXY ACKNOWLKDG[THAT 1 HAV[READ THIS AFr LICATION UNDER{LAE WORK -
A N b STAT[THAT TH19 ADOV[ IS CORRECT AND AOIRE[ TO COMELY ROUGH CONDUIT
WITH ALL COUNTY ORDINANC[S AND STAT[ LAW REGULATING
ELeCfRICAL WIRING. WIRING
1 HSSiSY CJnMPIY THAT I AM FRORRLY RE(3IST[RED AND/apt
LI CENSCD AS kXQUIRED BY LOS ANGELES COUNTY AND STAT[ Or
CALIFORNIA jXATH[ L[GAL OWN OF,AN ND TO rOW�
RESIDG IN,THIC[D RISID6 IA 1
S4GNAT IRE UTILfT' NCMF11[p 17U a 4 4 lip r,
OF PERMI
FINAL
ALIDATION JOSEPH C. ROOHAN
MO CASH SUPERVISING HLECTIRICAL ENGINEER
id
LACor 297 W 9 2 D 3.00-