HomeMy Public PortalAbout10656 ARROWOOD ST_Electrical_7/2/1970_light fixtures - cancelled 76,0663-CE8063-69 b"' P UCll T� R �ILE T�C &
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BULLDING
BUILDING AND SAFETY DIVISION ADDRESS Cp �J
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST �/ o
CROSS ST. (/
NO, EACH FEE
i
$ $ OWNER r
RE El MAIL '
LIGHT TOT Llzelzkm
FIRST 20 ,20 ADDRESS
CITY19'7TEL.NO.
SWITCH' OVER 20 •10 PLA9 CHECK
LIGHTING TOTAL FIRST 20 •20 APPLICANT
FIXTURES OVER 20 •10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK DISP. F.A.U. CONTRACTOR ���L+ �f
SPACE HTR_ AIR COND. ADDRESS
CLOTHES WASH._DISHWASH. CITY/ _ `� Z, TEL.N
FAN - OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION
IND. HEATERS., ETC. HP. KW. KVA, ANo STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 — 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 — 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWN OF, AND INTEND TO Q
RESIDE IN, THE ABOVE DESCRIBED RESIDE AL PROPERTY. "
10 - 50 5.00 V
SIGNATURE �
50 - 100 10,00 OF PERMITTEE O
F
U
100 — 500 15.00 DISTRI T NO, OUP ZONE „$R •SSED BY {11
1 N
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 ®1 1 Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS-0R 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 �C-
TEMP SERVICE, POLE, &APPURTENANCES 3:00 APPROVALS DATE INSPECTOR' SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
FIXTURES
:? PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 410 1
UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
_ SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
.� JUL . 2 2 D. 2.4 0 N:
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE