HomeMy Public PortalAbout6273 AVON AVE_Electrical_9/16/1965_receptacles, outlets, and switches 76A883-CE806 3-e.# APPLICATION FOR ELECTRICAL PERMIT
CBUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY IGa -✓
NEAREST
FOR APPLICANT TO FILL IN CROSS ST /1+r *'
RECEPT TOTALNO EACH FEE J
OUTLETS FIRST 20 $20 $ OWNER OR 1
LIGHT MAIL a Q
ADD'L ADDRESS AJ,,
SWITCH f4 OVER 20 10
LIGHTING TOL FlasT 20 20 CITY Sim 1 TEL NO
FIXTURES ADD'L 110 ELECTRICIAN
OV R 20
RANGE / CLO DRYERS WTR HTRS 100 ADDRESS
GARB DISP STA COOK
CITY TEL NO
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (yy H P MAX I s0 LICENSE NO
MOTORS OVER NOT OVER HP DISTT NO GROUP Z P C SSE BY
O 1 too
1 3 / 1 So INSPECTION RECOR }
0 0-
3 6 zoo ie ,� 13QR�p hlt
8 Is 250
M
16 SO 300 O 0
s0 100 500 d
SIGNS NO TRANS CrZ
NO LAMPS -•� �' w
SERVICE O 600V NOT OVER 200A too 1"
SERVICE O 600V OVER 200 A 1200
SERVICE OVER 600V Soo ( /Y&�i ✓7�
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTAIRY PERMIT ISSUING FEE 100
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APP OVALS DATE / INSP CTOR 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 v
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR �� J� /� I�D�A� �+
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES r
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE f)
DESCRIBED RESIDENT OPE v POWER (e'
SIGNATURE UTILITY CO NOTIFIEDWUIC:C�VEIT�)
OF PERMITTEEFINALOCK
IDATION A
MOCASH SUPERVISING ELE RICAL ENGINEER
L&O 5 6 5 11 SCP 16 2 n 1 0.10