HomeMy Public PortalAbout5941ALESSANDRO AVE_Electrical (4) 76A663 CE806 1 67 APPLICATION FOR ELECT CAL PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDINGLOCALITY
NEAREST )
FOR APPLICANT TO FILL IN CROSS ST 61
RECEPT 1 TOTAL NO EACH FEE _ 1f
OUTL TS FIRST 20 $ 20 $ OWNER oc
LIGHT J} MAIL n_ J
SWITCH ADD L 1O ADDRES
OVER 20
TOTALCIT TEL NO�
LIGHTING 1 FIXTURES FIRST 20 20
FIXTURES Jr ADD L 1O CONTRACTOR �3f/
OVER 20
RANGES DRYERS WTR HTRB 100 ADDRESS
GARB DISP STA COOK
CIT EL NO
DISHWASH AUTO WASH STATE v Ll
SPACE HTRB STA APPL 50 LICENSE NO
MOTORS OVER NOT OVER HP DISTRICT GR PYRCCORD
E P ES DBY
O 1 100 r
I 3 t so INSPECTION
3 8 200
8 15 2 5o
e
15 50 300 1 a
T
SO 100 500
SIGNS NO TRANS
NO LAMPS O
l/ C0
SERVICE o 600V NOT OVER 200A 100 �� Lu
SERVICE O SOON OVER 200 A 200 r h
z
SERVICE OVER 600V 500
OTHER (SEE COMPLETE FEE SCHEDULE) G `
PERMIT ISSUING FEE 2 00 Q
SUPPLEMENTARY PERMIT ISSUING FEE 1100 T APPROVALS DATE INSPECTOR B SIGNATURE
TOTAL FEE $ �(�
LRESIDE
EBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERS LAB WORK
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT /
L COUNTY ORDINANCES AND STATE LAWS REGULATING
CAL WIRING WIRING
EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
NIA OR THAT 1 M THE LEGAL O NER OF AND INTEND TO POWER
IN THE ABOV SCR D E D NTIAL PROPERTY
URE UTILITY CONOTIFIED
MITTEE
FINAL
J C r ELECTRICAL
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MO CASH SUPERVISING ELECTRICAL ENGINEER
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