HomeMy Public PortalAbout10525 FREER ST_Electrical__ 76A663-CE806 9-67 APPLICATION FOR ELECTRICAL PERMIT
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COUNTY O LOS ANGELES
DEPARTMENT..OF COUNTY ENGINEER FBLDINGBUILDING.AIAD SAFETY DIVISION DRESS � Z 57JOHN A...LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS-, SUPERINTENDENT OF BUILDINGCALITY I✓ C(
AREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
RECEPT. $ $ OWNER U
MAIL,
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 10 CITY TEL. NO_
LIGHTING �TOTAL FIRST 20 20 CONTRACTOR ( Cj
FIXTURES OVER 20 .10 ADDRESS
RANGEDRYER-WTR.HTR.- CITY TEL NO.,AO
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STA.COOK DISP.-F.A.U.- LICENSE NO. / 00 [ '&-'D
SPACE HTR. AIR COND. D I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH,_DISHWAS H,_ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FANOTHER 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC HP. KW. KVA. RESIDE IN, THE ABO DES RIBED RESID, TIA P OPERTY
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1 00 OF PERMITTEE d
Q
1 - to 3 0o p DIIbT G P Z N P D
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10 — so 5.00
50 - 100 10.00 NOTES:
W
100 - 500 15 00
_ N
SIGN,GAS SIGN AND ONE CIRCUIT 3 00
TUBE, OR
MARQUEE
ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 C7
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, &APPURTENANCES 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
ISSUING FEE 2 00 245
WIRING
FIXTURES
SUPPLEMENTARY ISSUING FEE 1 00
POWER AUTHORIZED /17
PERMIT FEE UTILITY CO.NOTIFIED� � F
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE O JOSEPH C. ROOHAN
SUPERVISING ELECT CAL ENGINEER
PLAN CHECK VALIDATION CK M o. CASH PERMIT VALIDATION CK. M.O CASH
LAW3 °7 S 5- MAR 2 6 2 D `��.0 Q lq
iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
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