HomeMy Public PortalAbout9663 LONGDEN AVE_Electrical__ 76A683•CE506 4.65 . APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS v
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN.W. JENKINS. SUPT. OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CRo88 ST.
RECEPTACLE, TOTAL NO. EACH FEE r
I OUTLETS FIRST 20,10 8.20 S OWNER SRN /Y/t�id
t LIGHT J} MAIL
f SWITCH ADD'L 1O ADDRESS ` v ,�b�,
OVER 20
LIGHTING 11, FIXTURES FIRST 20 /�r .20 CITY(r"' �oy, TEL.NG .77 �P!
FIXTURES JADD'L 1O CONTRACTOR GYIVA
OVER 20
RANGES LO.DRYERS WTR.HTRS. 1 1.00 ADDRESS !/�@
GARB.DIS�P. STA.COOK / /y
DISHWASFI, uTO.-WASH. CICITY1114A.C6 �NA TEL.NO. 7>�(7 J
STATE
E HT..J2 STA.APP.(Ys H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST T GR UP NE ESSED Y
O I 1.00 L
1 s 1.50 INSPECTION RECORD
s 8 2.00
S 1 s 2.50 Na
is SO 3.00 r' O
SO 100 5.00 V
0C
SIGNS, NO.TRANS.
NO.LAMPS ..
SERVICE 0.600V-NoT OVER 200A 1.00
N
SERVICE 0.600V•01IER 200 A. 12.00 Z
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE S APPROVALS DATE INSPECTOR'B SIGNATURE
i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LIGATION UNDERSLA13 WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 'P 'A
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 't // Yj J'� ! •"J• ••�
FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF i//ry,/•';•) /^,• ..�?Fi�PY
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO POWER
RESIDE IN.THE ASO ESCRIBED RESIDENT L PRO ERTY.
SIGNATURE 9 'UTILITY CO.NOTIFIED
OF PERM ITTE �q i nv•s p ����
FINAL
IDATION .1 SOIH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
Ll Lo 6 0 7 �'r eCT 1 2 D 18.30-
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