HomeMy Public PortalAbout9522 BOGUE ST_Electrical__ 76A663-CE806 4-68 APPLICATION FOR ELE96"ERMIT -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER _
ING
BUILDING AND SAFETY DIVISION FE
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JOHN A. LAMBIE• COUNTY ENGINEER S �L� -:UL ,
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGY
FOR APPLICANT TO FILL IN . C� C
NO, EACH FEE JJ��
$ $ ZV OWNER l.� U S
RECEPT., MAIL -
LIGHT TOTAL FIRST 20 20 ADDRESS
SWITCH_ 1 OVER 20 .10 CITY TEL. NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES OVER 20 10 ADDRESS '
RANGE_DRYER_WTR.HTR._ CITY TEL. NO '
STA COOK_OISP.—L—F.A.U._ CONTRACTORA( j3 ^ ��C
SPACE HTR. AIR COND. •A DORESSZ3Z- SCJ
CLOTHES WASH._DISHWASH._ CITY /� !C TEL. NO.
FAN_OTHER 1.00 OO LICENSE Id O. - CLASS. C
MOTORS,TRANSFORMERS RATING - -•
IND. HEATERS. ETC. HP: KW. KVA. I HEREBY ACKNOWLEDGE THAT I-HAVE READ THIS APPLICATION-
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
O - 1 1 00 - '
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
ICALIFOR NIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 O - 50 5 00 RESIDE IN, THE ABO D CRIP,ED RES) NTI L PROPE TY
'SIGNATURE U
50 -'100 10 00 OF PERMITTEE C,
1 00 - SOO 15 00 ft U
DISTRICT NO G,J3 F ZONE PR
TUBE, OR CE D B
SIGN,GAS SIGN AND ONE CIRCUIT 3 00
Cn
Z_
MARQUEE' ADDITIONAL CIRCUITS 1 00 ,
NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP / 2 00 [�
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE '
TEMP. POWER POLE '
UNOERSLAB WORK -
ROUGH CONDUIT J"h
PERMIT FEE (SUB TOTAL) WIRING e/) � i�!'i/ �v Z�
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED Q.
PERMIT ISSUING FEE 2 00 q_00 UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL
TOTAL' FEE 2� JOSEPH'C. ROOHAN
SUPERVISING ELE CAL ENGINEER'
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O CASH,
2 2 6 8� OCr16 2 0 5.2 aN
;EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE '