HomeMy Public PortalAbout5833 AGNES AVE_Electrical_6/2/1965_outlets 76^663-CE806 9-64 APPLICATION FORELEC (CAL PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDINGp
BUILDING AND SAFETY DIVISION ADDRESS O cf
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. 77v
R EC EP T, S TOTAL NO. EACH FEE
OUTLETS FIRST 20 /2 $20 $ /O OWNER
LIGHT ,'3 1 7 (!7 MAIL
AOD'L t0 ADDRESS
SWITCH. s /� OVER 20I
LIGHTING TOTAL I (FIRST 201 , .20 GQ CITY TEL. NO. �+
FIXTURESADD'L ELECTRICIAN C C-
? ,to C h
_ � I OVER 2_0
RANGES CLO.DRYERS WTR.HTRS. 1.00 _ ADDRESS ) Q,y 4/-,C-
GARB.DISP.L/ STA.COOK CITY2�
TEL.NO.
DISH WASH. AUTO.•WASH. /1 STATE �i
SPACE HTRS.&-- STA.APP.(-/z H.P.MAX.) ` ,50 l � LICENSE NO. d 11
MOTORS: OVER NOT OVER H.P. DISTRI T NO. �GP N-orlo S�_ �A (E �PR_OQESSED BY
O 1 1.00 _ff
1 3 1.50 INSPECTION RECORD
3 S 2.00
> .
8 15 2.50 ---- - u
15 50 3.00
---- O
50 100 5.00 F_
V
- w
SIGNS: NO.TRANS- h
NO.LAMPS Z
SERVICE 0.600V•NOT OVER 200A 1.00
SERVICE 0-60OV•OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP (CATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. Al
r f'
WIRING
HEREBY .CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES
LIG ENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL VNER OF, AND INTEND TO
RESIDE IN, THE ABOVE DESCRI D RES 'TIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED -�- ~TT
OF PERMITTEE O,s. L,..�
FINAL � V
CVALIDATION J0S9PH d. ROOHAN
K / MO CASH SUPERVISING ELECTRICAL ENGINEER
E..AW 2 1 9 5:o JUN G 2 D 6.2 0