HomeMy Public PortalAbout5026 FARAGO AVE_Electrical__ ISA663 CE806 10 SI APPLICATION FOR ELECTRICAL PERI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY i
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
I T E M NO EACH FEE
OUTLETS FIRST 20) $20 $ OWNER
LIGHTS RECEPT -SW MAIL
OUTLETS (ADD L UNITS) _ 10 ADDRESS
LIGHTS RECEPT SW
LIGHTING FIXTURES (FIRST 20) 20 pCITY TEL NO
LIGHTING FIXTURES (ADDITIONAL) 10 ELECTRICIAN
RANGES CLO DRYERS WTR HTRS 1 OO ADDRESS
GARBDIS STA COOK CITY TEL NO
DISHWASH AUTO WASH STATE
SPACE HTRS PA APP'(VH P MAX 50 LICENSE NO /
MOTORS OVER ER HP DI�RIT � GTPJ Z NE P O D B
O 1 100 r r
1 3 150 J INSPECTION RECORD t
l Q t� �A � aCL
3 S 2 00 a B�/�'d �"l� g.,fyP'"J�/. .dl >i4.�J7�ya� '..�r '�Q
8 15 125 u
YP/ w
15 50 30 Q
50 100 500
a
SIGNS NO TRANS to
NO LAMPS Z
SERVICE O 600V NOT OVER 200A 100
SERVICE O 600V OVER 200 A 2 00
SERVICE OVER 600V 500
a
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ TH 13 APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR kr1t,yq
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES (d9 /
CALIFORNIA OR THAT I AM THE LE OWNER THE BOVE
DESCRIBED RESIDENTIAL P PRTY POWER / J
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE
FINAL / OZ
�LI ARTHUR C VETT
1 CK MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER
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