HomeMy Public PortalAbout6155 KAUFFMAN AVE_Electrical__ 76A663-ft8O6 9-67 APPLICATION FOR ELECTRIC P M
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FBG
BUILDING AND SAFETY DIVISION S �S
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGTY
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FOR APPLICANT TO FILL IN T.
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_ NO. AC FEE
RECEPA _ $ 5 OWNER � - •
MAIL
LIGHT �0 TOTAL FIRST 20 7-0 20 () ADDRESS
SWITCH OVER 20 .10DCITY TEL. NO. '
LIGHTING �TOTAL,, FIRST 20 7O20 00 CONTRACTORFIXTURES 0 OVER 20 10 ADDRESS
RANGE—DRYERWTR.HTR._ CITY '��'�-i�✓�•��`-*�7/TEL. NO.--?31-3J �
O _
STA COOK '—OISP. //LF.A.U./— - LICENSE NO._
SPACE HTR./-AIR COND. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
I AND STATE THAT THE ABOVE IS CORRECT AND AGREE .TO COMPLY •
CLOTHES WASH._DISH WAS H, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
^1 ELECTR ICAL W]RING.
FANOTHER 1 00 ��f 1 HEREBY CERTIFY THAT I' AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED 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 ABOV DESCR BED RESIDENTIAL PROPERTY.
SIZE & TYPE OVER TO SIGNATURE '
0 - 1 I 1 00' OF PERMITTEE d
O .
1 - 10 3 00 DISTRICT NO. GR UP I ZONEIT- PR C SSED U
10 - 50 5 00 OC
50 - 100 10 00 NOTES.:
100 - Soo 15 00
SIGN,GAS
! W
TUBE, OR SIGN AND ONE CIRCUIT - 3 00
MARQUEE /
ADDITIONAL CIRCUITS 1.00 +7
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 '
TEMP SERVICE, POLE, &APPURTENANCES 3.00 ,
.APPROVAL'S DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT 19 fi
ISSUING FEE 2:00 WIRING i
FIXTURES J ��
SUPPLEMENTARY ISSUING FEE 1 00
POWER AUTHORIZED A
PERMIT FEE UTILITY CO.NOTIFIED
� I i
PLAN CHECK FEE (50% PERMIT FEE) p� FINAL
TOTAL FEE ((J Q, JOSEPH C. ROOHAN
SUPERVISING ELE TICAL ENGINEER
PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION CK M.0 CASH
LA25041 NOW 1 2 D 2 4.8 0
3EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE