HomeMy Public PortalAbout4846 DOREEN AVE_Electrical__ 76A663-EE606 12-66 APPLICATION FOR ELECTRICAL �RMI pY
COUNTY OF LOS ANGELES FOR
G LJ
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADUREss tl 4 /J-'✓e�711a: J/
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 21f
. - ai>,.=. .:- -.:. NEAREST v /�,
FOR APPLICANT TO FILL IN CROSS ST. �. ,D-:--<'i L ,;�...:.,
RECEPT. L TOTAL NCHI FEE
OUTLETS S $ OWNER rG> ��-�C ✓C.:et:fll
LIGHT FIRST 20L J .20 5 V_b .f
SWITCH 4"' -1 OVER ADD L .10 %�, ADDRESS p
t TOTAL FIRST 20(__( .20 Z, CITY TEL.NO.g`�Y r+0 1!7
LIGHTING l FIXTURES .c/L_.. '
FIXTURES J ADD'L i0 CONTRACTOR sr Aa-1 f
OVER 20
/1/' ��// / '//
RANGES eRYERSy, WTR.HTR.. 1.00 C-[ ADDRESS ✓ (P i / /V IY� "1 Q� T
GARB.DISP. STA.COOK
CITY TEL. NO. it It]1-3
OISHWASH. AUTO.-WASH. STATE �" / �)
SPACE HTR.. BTA. APPL / .5jD /�, LICENSE NO. I•y/ y Q K J
MOTORS: OVER NOT OVER H.F. DISTRICT NO. GRO P ZONE PROCESSED BY
O 1 1.00 _ 'r� - / /
1 a 1.50 INSPECTION RECORD Q
3 6 2.00 _ L)
S 15 2.501 10I--
15 50 3.00 V
W
so . too s.00 a
Z
SIGNS: No,TRANS
-
NO. LAMPS
SERVICE 0-600V-NOT OVER 200A 1 1.00 (,v
SERVICE 0-60OV-OVER 200 A. 2.001
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 ` Q `,C
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AFPLICpTI ON UNDERSLA6 WORK
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING J
ELECTRICAL WIRING. WIRING G( / / /� /(/
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES IZ /J_ G I 'R.1�/.^/�A� '
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
S CALIFORNIA OR THAT 1 THE LEGAL OWNER OF, AND INTEND TO POWER
RESIDE IN,THE ASO El
RPID NTIAL PROPERTY. f!
SIGNATURE /C` r `* Wn UTILITY CO.NOTIFIED / / & iY
OF PERMITTEE -
_11 FINAL
�LI CAS J SEPH C. R00HAIT
CK MOO CASH SUPERVISING ELECTRICAL ENGINEER
- _ LACO579s� NOV 14 2 D 10.40-