HomeMy Public PortalAbout6145 AVON AVE_Electrical__ (2) 76AG63 CEBfo 'lo 62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
.DEPARTMENT OF COUNTY ENGINEER rADCDRLE'SS
UILDNG /
BUILDING AND SAFETY DIVISION JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING OAITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO EACH FEE
LIGHT OUTLETS FIRST 20 $20 $ OWNER '
MAIL f
ADR L ADDRESS
SWITCH OVER 20 1D (�
/
LIGHTING l TOTAL FIRST 20 20 CIT , TEL NO
FIXTURES J} ADD L
OVER 20 10 ELECTRICIAN
RANGES CLO DRYERS WTR HTRS 100 ADDRESS
771
GARB DISP STA COOK
CITY TEL NO
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (y¢H P MAX) 50 LICENSE NO
MOTORS OVER NOT OVER HP DISTR T NO GROUP— Z NE P ESSED B
O 1 �100
+ s 150 INSPECTION RECORD
s S 200 / V
a +s 250
15 50 300
50 100 500 � � f�
d
SIGNS NO TRANS �r
NO LAMPS
SERVICE O 600V NOT OVER 200A 00 e Ile,v SL ,�q IJV er y/d cjptoe
SERVICE O 600V OVER 200 A 1200
SERVICE OVER 600V 500
MISC �
v /
PERMIT ISSUING FEE 200 —
SUPPLEMENTARY PERMIT ISSUING FEE 1100 Well-
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY POWER
SIGNATURE / UTILITY CO NOTIFIED
OF PERMITTE I 1 t�l�J ' IIm Af�'/'
FINAL
ALIDAARTHUR C VETT I '
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LALO8 2 1 1'"'S' ANI 28 2 A 3 00 `=
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