HomeMy Public PortalAbout10656 ARROWOOD ST_Electrical_7/21/1970_dryer i
76.0663-C E806 3-69 j
APPUCAMN FOR ELECTMA PMW7
COUNTY OF LOS ANGELES „r
DEPARTMENT OF COUNTY ENGINEER BUILDING Q �-/
BUILDING AND SAFETY DIVISION ADDRESS V (a
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH
FEE
$ $ OWNER
RECEIPT.— MAIL
ADDRESS
LIGHT TOTAL FIRST 20 .20
SWITCH OVER 20 .10 CITY TEL.N0. --
PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES + OVER 20 .10 ADDRESS
RANGE DRYER / WTR. HTR. CITY TEL.N0. ,
STA. COOK DISP. F.A.U. CONTRACTOR (,
E, SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH. DISHWASH. CITY TEL.N0.
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. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
O - 1 1.00 1 HEREBY CERTIFY THAT 1 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 OWNER OF, AND 1 ND TO
RESIDE IN, THE ABOVE DESCRIBED RE IDENTIAL PROPE TV O
10 — 5 0 5.00 ��//� (�
SIGNATURE , 71� ad
50 — 100 10.00 OF PERMITTEE
100 500 15,00 - DIST NO GROUP ZONEPROC' D ' W V
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 N
TUBE, OR 7+ ^ Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: - ( �'1 - ,(�(L/ �,,,
SERVICE NOT OVER•600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 ° APPROVALS DATE INSPECTOR'S SIGNATURE
i
TEMP. POWER POLE
1
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) T FIXTURES
r. POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 -` UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
FINALfj=3—'(� /J .OFl�i3f
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I r_ 5975R jUL21 2 U 3.00~ � .
SEE BACK OF APPLICATION FDP COMPLETE_ FEE SCHEDULE