HomeMy Public PortalAbout5521 PARMERTON AVE_Electrical_3/24/1969_receptors, light outlets and switches 3 L 468 APPLICATION FOR ELECT CAL PERT
COUNTY OF LOS ANGELES
BEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION gDoq E55
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUPBRINTZNOBNT OF BUILOIHG LOCALI
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
AC E
RECEPT _
5 OWNER
MAIL
LIGHT TOTAL FIRST 20 20 O ADDRESS
SWITCH_ OVER 20 10 CIT TEL NO
PLAN CH
LIGHTING TOTAL FIRST 20 20 G APPLICANT
FIXTURES OVER 20 10 ADDRESS
RANGE_DRYER—WTR HTR _ ICITY TEL NO
STA COOK_DISP _F A U COIJTRAC TOR
SPACE HTR _AIR COND __ ADDRESS
CLOTHES WASH _DISHWASH CITY TEL NO
FAN_OTHER 1 00 LICENSE NO CLASS
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE TYPE OVER TO ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - I 1 00
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
I - IO 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA
M THE LEGAL OWNER OF AND INTEND TO
to - 50 5 00 RESIDEE DESCRITED RESIDENTIAL PROPERTY
O p U
SIGNATK
50 - 100 10 00 OF PERp
H
Loo - 50o Is oo DIST P Z E O E D BY LLI
SIGN GAS SIGN AND ONE CIRCUIT 3 00
TUBE OR Z
MARQUEE ADDITIONAL CIRCUITS 100
NOTE
SERVICE NOT OVER 600 VOLTS OR 200 AERP 2 00 T'
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE h APPURTENANCES 3 00 DATE INSPECTOR S SIGNATURE
TEMP
U NDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEET
POWER AUTHORIZED
PERMIT ISSUING FEE 200 UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 ]FINAL
tit A AM-
TOTAL FEE JO PH'C 6OOHAN
SUPERVISING ELEC CAL ENGINEER
PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION cK M 0 CASH
LRr',8 9 6 1,� fuR24 2 D 660- h.
'SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ]