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HomeMy Public PortalAbout9635 LAS TUNAS DR_Electrical_11/12/1969_Christmas street lights 78A683-CE808 9-89 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESSdg— JOHN 0. JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CROSS SNEAREST T. NO. EACH FEE $ $ OWNER '. RECEIPT._ MAIL q LIGHT TOTAL FIRST 20 20 ADDRESS S Z �� f CITY � TEL.NO. SWITCH OVER 20 .10PLAN 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 SPACE HTR. AIR COND. ADDRESS ` CLOTHES WASH._DISHWASH. CITY ` TEL.NO.3)9-7-7-33 FAN_OTHER 1.00 LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT IHAVE 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. 0 - 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 1 AM THE LEGAL OWNER OF, AND INTEND TO a 'RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. C 10 — so 5.00 1U p. SIGNATURE F 50 - 100 t0A0 OF PERMITTEE Q 100 - 500 15,00 DISTRICT NO. GROUP ZONE PR ES D BY u W F TSIGN URN,OR SIGN AND ONE CIRCUIT 3.00 �� Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: i' SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, EI APPURTENANCES 3,00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK )•, ROUGH CONDUIT WIRING s PERMIT FEE (SUB TOTAL) FIXTURES sf POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) ' PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED v' SUPPLEMENTARY PERMIT ISSUING FEE 19 1.00 FINAL TOTAL FEE Fee waived: JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATIO M.o dAl� R ° PERMIT VALIDATION ( Argy 2 b7 3 o F�uil1 2 4 D .00^' SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ��