HomeMy Public PortalAbout9635 LAS TUNAS DR_Electrical_1/19/1967_sign 76A663-CE80612-65 APPLICATION FOR ELECTRICAL PERMIT r L
COUNTY OF LOS ANGELES
DEISARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION _ADDRESS ` �
JOHN A. LAMBIE, COUNTY ENGINEER yes �J
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
_ FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE n
-1I OUTLETS $ $ OWNER of J47W
LIGHT } i FIRST 20 .20 MAIL _-
SWITCH JJ OVER
I 1O ADDRESS S
VER 20
FIRST 20- .20 CITY s, TEL.
LIGHTING 1�� ADD-L FIXTURES 1O CONTRACTOR
OVER 20
l
RANGES DRYERS WTR.HTRS. 1.00 ADDRES 577
GARB.DISP. STA.COOK
CITY TEL.
DISHWASH. AUTO.-WASH. STAFE
SPACE HTRS. STA. APPL. .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT N OUP ZO E PR CE g BAY
O 1 1.00r
1 3 1.50 INSPECTION RECORD
3 S 2.00
s 15 2.50 0
15 50 3.00 U
—r W
0-
50
50 100 5.00 V)
Z
SIGNS: NO.TR
NO.LAMPff-
SERVICE 0.60OV-NOT OVER 200A 1.00
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 12.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE a
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERS LAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS AN ESC NTY AND STATE OF
CALIFORNIA O T AT I H E OWN F AND INTEND TO' POWER
RESIDE IN,T O 1 R dp�FROPEYTY.
SIGNATU t UTILITY CO.NOTIFIED
OF PER E
FINAL :'�
A IDAT!ON JOSEPH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
8 8 0 1 ° JfN1S, D 5.5U.� `
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