HomeMy Public PortalAbout8841 - 8841 1/2 ELM AVE_Electrical__ 76A663-CE306 9-66 nPPUCMN Q ELE MAL IPERMU
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER f�
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. �+ d
RECEPT. TOTAL NO. EACH FEE _ /
OUTLETS $ $ - OWNER N / 0A/
LIGHT FIRST 20 .20 --- o 'i-�7y
MAIL
ADDOVVERER20 ADDRESS
SWITCH J 10 2
TOTAL FIRST 20 .20 CITY TEL. NO.
LIGHTING 1 FIXTURES
FIXTURES J( 10 CONTRACTO O C �(
_
OVVERER 20
2
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA:COOK y 33
CITY oQj)V,!eQV11j TEL. NO.
DISHWASH. AUTO.-WASH. STATE ^ /
SPACE HTRS. STA. APPL. .50
LICENSE NO. f�
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP NE P CE D BY
O 1 1.00 Zo
1 3 1.50 INSPECTION RECORD '
3 8 2.00 �J - - 5�
8 15 2.50
15 50 3.00 d
50 loo 5.00 - 0
NO.TRANS - w
SIGNS: NO.LAMPS 0
V
SERVICE 0.60OV-NOT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00 rA
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
i. I HEREBY.ACKNOW LEDGE THAT I HAVE READ THIS APPLICATION 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 i AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I M THE 5D,�I'AL-PRq"E
R OF. AND INTEND TO POWER J
RESIDE IN,THE AB SCRIB ' TY. )
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITT E / //��
.. .„, FINAL
LIDATION JOSEPH 'C. ROOHAN
MO CASH SUPERVISING ELECTRICAL ENGINEER ”
C
LA"U 9072 juN14 2 D 3-.00