HomeMy Public PortalAbout5136 DOREEN AVE_Electrical__ 76A663-CE8061-68 APPLICATION FOR ELECTRICAe PERMIT
COUNTY OF LOS ANGELES _ _-
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 3 '
JOHN A. LAMBIE. COUNTY ENGINEER ADpR ESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING I LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
/��! NO. EACH FEE
RECEPT:_1. S 5 OWNER
MAIL n
LIGHT1�0- TOTAL FIRST 20 �U .20 Uv ADDRESS t�n�-�'-D' G
SWITCHJ�/��Jv OVER 20 .10 y 0vCITY �3 L;,.4"l TEL. NO. -I�}^ip YJ�
PLAN CHECK
LIGHTING T T L FIRST 20 .20 O APPLICANT
r' FI%TURES OVER 20 .10 ADDRESS
RANGE—DRYER—WTR.HTR._ (CITY TEL. NO.
1 STA.COOK_OISP. � F.A.U. i T
CONT RAC FOR
AA,, A�
' SPACE HTR—AIR COND. ADDRESS v. �L 1 �y
�l
CLOTHES WASH. DISHWASH� CITY 9 TEL. NO.-/ ZQ 1
FA N_OTHER 1'00 O `
,LICENSE NO. r .� �. CLASS.-:I
FF 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.
0 1 1.00
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 1
I I - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF r
} CACI FOO Nl4 OR THP AM THE LEGAL WNER OF, ANO INTEND TO d
III, 10 - 50 5.00 RESIDE IN, THE tlOVE DESCPIPEO RESIDENTIAL PROPERTY. j O
R SIGNATURE V
P 50 - 100 10.00
OF PERMITTEE ')) C
100 - Soo 15.00 ,DIST
MPG GR Z N P D 0
SIGN.GAS SIGN AND ONE CIRCUIT 3.00 l.� 1 W
TUBE, OR O-
MARQUEE ADDITIONAL CIRCUITS 1,001
NOT ES: Z
SERVICE NOT OVER SOO VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
EISSUINGFEE
POLE. & APPURTENANCES 3.00 APPROVALS OATE INSPECTOq'S SIGNATVflE
TEMP. POWER POLEUNDE!!SLABWORK
ROUGH CONDUIT(SUB TOTAL) WIRING
FI%TURES
K FEE (50% PERMIT FEELPOWER AUTHORIZED
UING FEE 2.00 UTILITY CO.NOTIFIEDTARY PERMIT ISSUING FEE 1.00 FINAL JOSEPH C. ROOHAN
SUPERVISING ELECT CAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
'ACOA 0-3 2�2 APR 2 2 D 1 9 2 0CA
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5EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE /// �