HomeMy Public PortalAbout5840 CAMELLIA AVE_Electrical__ 76A663 CEBO6 9-66 APPLICATION FOR ELECTRIC FERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE' COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY �—
NEAREST '
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. 1 TOTALNO. !EACH FEE
--- I OUTLETS �$ – $ OWNER ( �}�� �,/� Tf�»>�/"
LIGHT J} FIRST 20 .20 MAIL ��
SWITCH �__. ADO'L 10 ADDRESS
_ OVER 20
TOTALFIRST 20 .20 CITY TEL. NO,
LIGHTING FIXTURESb3
FIXTURES ADD'L f0 CONTRACTOR ` _j
OVER 20 - _
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS!f
GARB.DISP. STA.COOK
CITY �– (, , TEL. NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS, STA. APPL. ,50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST CTN�Qy OUP NE R[2
O 1 1.00
1 3 1.50 INSPECTION RECORD
3 a 2.00
8 15 2.50 If --
15 50 3.00
50 100 5.00 O
SIGNS: NO.TRANS CeO
NO.LAMPS 0
6ERVICE 0.600V-NOT OVER 200A 1.00 UJ
o.
SERVICE C-600V-OVER 200 A. 2.00 N
Z
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE t
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLIC TION UNDERSLAB 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 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL DEOWNER D INTEND TO POWER
RESIDE IN,THE ABOVE DESCRIBE IDE NTIAL PERTY. --
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE__ ___ -"—
FINAL
i �LI O CAS JOSEPH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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