HomeMy Public PortalAbout5615ALESSANDRO AVE_Electrical (3) 76A663 CE806 9 66 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDINGS-/ �s-- ss�
BUILDING AND SAFETY DIVISION ADDRESS r
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDINGLOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT 1 TOTAL NO EACH FEE CE� _�/�((��
JIIy OUTLETS FIRST 20 $20 $ � D OWNER ��(`\'
LIGHT, 1/{� MAIL
SWITCH / CY ADD L 1O ADDRESS 15-
/
OVER 20 )
LIGHTING 1-3
FXOT AL FIRST 20 20 Q CITY L' TEL NO�� - 0FIXTURES ADD L 1O CONTRACTOR ,
OVER 20 _ `�J
RANGES DRYERS WTR HTRS 100 ADDRESS YJ/ CAP1E/+
/�
GARB DISP STA COOK L y►
CITY Q G► TEL NO �-3Jv
DISHWASH AUTO WASH STATE
SPACE HTRS BTA APPL 50 LICENSE NO /3 D V I V
MOTORS OVER NOT OVER H P DISTRIC N G P rE P 92_E D
O 1 100
1 3 150 INSPECTION RECORD
3 8 200 n o,., _tel
8 15 250 Foy ..,
15 50 300 y / O
s0 100 500 vV
SIGNS NO TRANS
NO LAMPS O
SERVICE O 600V NOT OVER 200A 100 / o
a
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 8 SIGNATURE
TOTAL FEE 81 0
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING /11 WIRING
v
IHEREBY CERTIFY THAT I AM PROP RLY REGISTER AND/OR FIXTURES
LICENSED AS REQUIRED BY NG E COUNTY A STATE OF
CALIFORNIA OR THAT I A H EG O N OF INTE T POWER
RESIDE IN THE ABOVE S ED SI ERT
SIGNATURE UTILITY CO NOTIFIED
OF PERMIT IL _
FINAL
LIDATION JOSEPH C ROOHA
MO CASH SUPERVISING ELECTRICAL ENGINEER
CK
LACO8633 NAY 18 2 D 6.80N