HomeMy Public PortalAbout9988 BOGUE ST_Electrical__ 76A663-CE606 3-69
APPLICATION FOR ELECTRICAL
COUNTY OF,LOS ELES m
J'DEPARTME T OF? COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING D o iv p n,1
ADDRESS tJ lJ cJ�
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W; JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 7ewhle
NEAREST J
FOR APPLICANT TO FILL IN CROSS ST.
C/
NO. EACH FEE _
$ $ OWNER /y/i O�,l 110
RECEIPT._ MAIL
LIGHT TOTAL FIRST 20 ,20 ADDRESS
SWITCH OVER20 _10 CITY /ems P �� TEL.NO..2(P$ /
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
ADDRESS
FIXTURES OVER 20 .10 -
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK CONTRACTOR F.A.U. CONTRACTOR ,f-/4
SPACE HTR AIR COND. / `! ADDRESS -�2 J„ o.
CLOTHES WASH. DISHWASH. / CITY .Q "44 0`' TEL.NO. {/—,?—",j
FAN OTHER • 1.00 LICENSE NO. CLASS.C Q
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE 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 I AM PROPERLY REGISTERED AND/OR
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATEOF
1 — 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO CL
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
10 - 50 5.00 V
SIGNATURE OG
50 - 100 10.00 OF PERMITTEE O
E-
100 — 500 1'55.00 DISTRICT NGa^"^ Z R C SED BY V
NSIGN,GAS SIGN AND ONE CIRCUIT 3.00
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: 0/110
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
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) 00 FIXTURES
V
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
00
PERMIT ISSUING FEE 2.00 U UTILITY CO.NOTIFIED ri
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE ,(" �O JOSEPH C. ROOHAN
u SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
F- 3 5 1 4 L JAN 2 8 2 D 5.0 a
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE iJI
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