HomeMy Public PortalAbout4832ALESSANDRO AVE_Electrical 76A663 CE806 1 67 APPLICATION FOR ELE RICAL PE IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPTS TOTAL NO EACH FEE
OUTLETS FIRST 20 $ 20 $ OWNER
LIGHT J} MAIL
SWITCH ADD L 10 ADDRESS
OVER 20 �tr
1 TOTAL FIRST 20 20 CITY TEL 11#0
LIGHTING l FIXTURES
FIXTURES )( ADD L 10 CONTRACTOR
OVER 20
RANGES DRYERS WTR HTRS 100 ADDRESS
GARB DISP STA COOK
CITY TEL NO
DISHWASH AUTO WASH STATE /
SPACE HTRS BTA APPL 50 LICENSE NO
MOTORS OVER NOT OVER HP DISTRICT NV GROUP I Z E PR ES BY
O 1 too �
1 3 150 INSPECTION RECORD
3 8 200
8 15 250
15 50 300 per,
50 100 5 00 L)
SIGNS NO TRANS O
NO LAMPS G
SERVICE 0 600V NOT OVER 200A 1100 f W
SERVICE O 600V OVER 200 A 200, I)
Z
SERVICE OVER 600V 500 —
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100 APPROVALS DATE INSPECTOR 881GNATUR6
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERS LAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO POWER
RESIDE IN THE ABO SCR D MREL PROPERTY� m
SIGNATURE
UTILITY CO NOTIFIED
OF PERMITTEE
FINAL
VALIDATI JO EPH C HAN
CK MO CASH VIBI
SUPERELECTRICAL ENGINEER
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