HomeMy Public PortalAbout5840 CLOVERLY AVE_Electrical__ APPLICATION FOR ELECT C RRE MIT
76A663-CE806 9-66
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 0 V
JOHN A LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY c
NEAREST
FOR APPLICANT TO FILL IN CROSS ST w�S
RECEPT. TOTAL No EACH FEE
-�.—� OUTLETS FIRST 20 $ 20 $ OWNER
LIGHT J` MAIL
SWITCH ADD L 10 ADDRESS
OVER 20
TOTAL FIRST 20 20 CITY TEL NO
LIGHTING FyETU REB
FIXTURES ADD L CONTRACTOR
OVER 20 10
RANGES DRYERS WTR HTRS 100 ADDRESS //Q�9 '
GARB DISP STA COOK CITY lam_ TEL NO.
DISHWASH AUTO-WASH STATE /
SPACE HTRS STA APPL 80 LICENSE NO Z / 7v/ 7
MOTORS OVER NOT OVER H P DISTEUT GR U ZONE P D
O 1 1.00 /
1 3 150 INSPECTION RECORD
3 S 2.00
8 is 250
1s 50300 r
O
50 100 Soo !
V
NO TRANS
SIGNS. NO LAMPS V
SERVICE O-600V-Nor OVER 200A loo
SERVICE 0-600V.OvER 200 A. 200 to
z
SERVICE OVER 600V 500
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE :zoo
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 APPROVALS DATE INSPECTOR'S SIGNATURi
TOTAL FEE
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1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERS LAB 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
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS AN 5 COUNTY ND STATE OF
CALIFORNIA OR THAT I AM THE LEG WNER OF D INTENO TO POWER
RESIDE IN THE ABOV ESCR ID AL ERTY
SIGNATURE UTILITY CO NOTIFIED ///3 -�
OF PERMITTE rl -r� Oy.��/may, _\
FINAL V A/�/ �Y �V
/, I LIDATION _ JOSEPH C ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
8 3 8 31 VAY 2 D 5.00-