HomeMy Public PortalAbout8638 HERMOSA DR_Electrical__ 76A663-EE806 9-64 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER (4 '
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY`)
NEAREST
FOR APPLICANT TO FILL IN cgoss sr. d�
RECEPT. TOTAL NO. EACH FEE
LIGHT OUTLETS FIRST 20 $ 20 $ OWNER
MAIL
ADD'L ADDRESS C
SWITCH. OVER 20 .t0
TOTAL , CITY �" I'LAX/ TEL. NO.
LIGHTING — FIRST 20 .20
FIXTURES Aoo'L 10 ELECTRICIAN
OVER 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESSD
ARE,CHIP. ' STA.COOK
CITY TEL. NO.
DISHWASH. • AUTO.-WASH. STATE
SPADE HTRS. STA.APP.('H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRI. O. GROUP ZONE PR CE E BY
o 1 t.00
1 3 1.50 INSPECTION RECORD
>L
3 8 2.00 d
O
s fs zso V
15 50 3.00 w
50 100 5.00 O
NO.TRANS'
[SERVICE
GNS: NO.LAMPS N
O.60OV-NOT OVER 200A LOOZRVICE 0-60OV-OVER 200 A.RVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS I DATE INEPEROWB SIGNATURE
AND STATE THAT THE ABOVE II CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING �Z
HEREBY _CERTIFY THAT AM PROPERLY REGISTERED AND/ON FIXTURES
LICENSED AS REOUIREO BY LOS ANGELES COUNTY ANO STATE OF
CALIFORNIA OR THAT I AM THE LEEGAL OWNER OF. AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE -
FINAL �' y+ issA>r ..e�M
ALIDATION JOSEPH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
a
3.20-
6 2 '7 7w DEC 8 2' A