HomeMy Public PortalAbout10936 FREER ST_Electrical__ TaAG"-C 808 4-85 APPLICATION FOR ELECTRICAL VERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �'
JOHN A. LAMBIE,.CouNTY ENGINEER
COLEMAN.W. JENKINS, SUPT. OF BUILDING LOCALITY
NEAREST
FOR APPUCANY TO FILL IN CROUG ST.
RCCSPTACLEI TOTAL NO EACH
LIGHT
111 ounETS FIRST 20 S,20 S 'OWNER
MAIL
SWITCH
O V SR'2 10 ADDRESS
TOTAL CITY 20 ,10 CITY TEL NO.
LIGHTING FIXTURES
FIXTURES ADD'L CONTRACTOR
OVER 20 .10
RAH Gia GLO.DRYS" W'm HTRS. 1.00 ADDR"S
OARS-DISP. STA.COO[
CITY TYL. NO.
DISHWASH. AUTO..WAVH. STATE
SPACE HTRIL STA.APr.(K H.P.MAX.) ,60 LICENSE NO.
MOTORS, ovER NOT OVER Hr. DIST CT GROUP NPPRO SSED BY
O 1.00 c � r
1 1.60 INSPECTION RECORD
3 a 2.00
S 1 D 2.60
16 so 3.00 Q
V
6o 100 6.00
SIGNS. NO.TRANS
NO.LAMPS
9ERVICE 0-600V-NOT ovn[200A 1.00
SERVICE 0-e00V.OVXX 100 A. 2.00
QERVICE OVER GOOV 6.00
OTHER (SEE COMrUrrK FEE SCHEDULE)
PERMIT ISSUING FEE 1.00
SUPPLYMEAITABY PERMIT ISSUING FEE 1.00
TOTAL FEE APPROVAL4 FATE
1 HERESY ACKNOWLEDGE THAT 1 HAVE REyAD THIS APPLICATION UNDERBLAD WORK
AHD STATE THAT THE AN=IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT 1
WITH ALL COUNTY ORDIMAII CES AND STATE LAWS REGULATING
M i
[L[CTRICAL wIR1NG. WIRING
1 HERESY CERTIFY THAT I AM PROrERLY REGISTERED AND/opt FIXTU
LICENSED A■ REQUIRED oY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE OWN6R OF, NTEHDR
RESIDE IN'
TH[AeOVI 1 Rul
SIGNATURE UTILITY CO.NOTIFlgD
OF FKRMITTE FINAL
VA IDATION JOSEPH C. ROOHAN
CIC MO CASH SUrERVISING ELECTRICAL ENGINEER
r
LAC09 9 3 8�8 M23 2 D 2.00-