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HomeMy Public PortalAbout9832 LA ROSA DR_Electrical__ J6A653,CEB061/JO - APPLICATION FOR ELECTRICAL E IT �1 ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER nooses BUILDING AND SAFETY DIVISION X JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY le M Y COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING 11 I ' T NEARET FOR APPLICANT TO FILL IN CROSSST. -T �' WE .J OUTLETS NO. E—ml OWNER RECEPT.1 I;d-S S MAIL p ADDRESS LIGHT � gqTOIAL FIRST 20 '20 � Y© CITY TE NO. SWITCH � OVER 20 5 10 3 „ PLAN CHECK FIRST 20 /�/ APPLICANT 'LIGHTING TOTAL 20 O OVER 20 FIXTURES � .ID ADDRESS APPLIANCES CITY TEL. NO. RANGEORYERPERMIT _WTR. HTR._ APPLICANT ' STA. COOKDISP. F.A.U. ADDRESS SPACE HTR. AIR CONE. CITY TEL N0. CLOTHE/5.WASH. DISHWASH. LICENSE NO. CLASS, FAN JLDTH ER ' 100 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. 'SIZE & TYPE OVER TO I .NSEDHEREBYA CERTIFY THAT AM PROPERLY REGISTERED ANO/OP 0 - I 1,00 LICENSED AS RED U E0 BY L05 ANGELES COUNTY AND STATE Tor O CALIFORNIA OR THAT AM THE LEGAL OWNER RESI OF, AL INTEND T. I - 10 3.00 RESIDE IN, THE ABOVE OESCP IP,ED RESIDENTIAL PROPERTY. n � � SIGNATURE 10 - 50 5.00 OF PERMITTEE ' �' 50 - 100 10.00 fFIXTURES ND. CLASS GROUP ZO�nNJE P CESSED BY 0 100 - S00 1500Qj SIGN, GAS SIGNANO ONE CIRCUIT 300TUBE, ORMARQUEE ADDITIONAL CIRCUITS 1.00 ? SERVICENOTOVER 600 VOLTS OR 200AMP 200 ZRO VA LS DATE INSPECTOR'S SIGNATURE SERVI CEOVER 600 VOLTS OR 200 AMP 500 WER POLETEMPSERVICE,POLE, &APPURTENANCES 3.00 AS WORKTEMP LIGHT OR RECEPT. SYSTEM 3.00 ON OIUT �$ Q PERMIT FEE (SUB TOTAL) S POWER AUTHORIZED / V PLAN CHECK FEE.(SO% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 QJ SUPPLEMENTARY PERMIT ISSUING FEE 100 -- FINAL '.` J OS EP H'C. ROOHAN TOTAL FEE ♦ /VY SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.D. CASH AC ,; 1:3 1 c so.- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE