HomeMy Public PortalAbout4905ALESSANDRO AVE_Electrical 76A663 CE8h6 iF6'7 APPLICATION FOR ELECTRI AL PERMIV 'fl
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
RECEPT Yl1 TOTAL NO EACH FEE
OUTLETS FIRST 20 $20 $ OWNER
LIGHT 8 J} MAIL
LJ
SWITCH ADD L 10 11 ADDRESS
OVER 20
TOTAL FIRST 20 20 O CITY TEL NO
LIGHTING FIXTURES
FIXTURESADD L 10 CONTRACTOR .�-T-
OVER 20 //
RANGE" DRYERS WTR HTRS 100 ADDRESS 3 6 _3 40
GARB DISP IlkW7STA COOK
CITY S�/J'iQ,lJ TEL NO
DISHWASH AUTO WASH STATE
SPACE HTR9 STA APPL 50 AA
LICENSE NO
MOTORS OVER NOT OVER H P DISTRICT GR P E P O E D
100
I 3 150 INSPECTION RECORD
3 S 200
8 15 250
15 50 300
50 100 Soo O
SIGNS NO TRANS
NO LAMPS //'�Y �+ � GO
SERVICE 0 600V NOT OVER 200A .100Wa
SERVICE O 600V OVER 200 A 200 Z
SERVICE OVER 600V 500 —
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2 00
SUPPLEMENTARY PERMIT ISSUING FEE 100 APPROVALS DATE INSPECTOR 6SIGNATUR6
TOTAL FEE s
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PP IC TION UN DERS LAB WORK
LECTRICAL
E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
L COUNTY ORDINANCES AND STATE LAWS REGULATING
AL WIRING WIRING
BY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORF TURES
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO POWER
THE ABOVE�D/F�CRIBED RE IDENTIAURE // UTILITY CO NOTIFIEDMITTEE f�
FINAL
�LIDATION JOSEPH CROOHAN
�\ CK MO CASH
SUPERVISING ELECLEC
TRICAL ENGINEER
LAL,oy .9o -'%—o nUv 2 2 D 1170-
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