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HomeMy Public PortalAbout5516 MCCLINTOCK AVE_Electrical__ 76,46.3-CE806 >-66 ' APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING /A BUILDING AND SAFETY DIVISION ADDRESSI Co (^�\,CG(fI-%L.L_cmc 14 JOHN A. LAMBIE, COUNTY ENGINEER _ COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 1 (BKA U T NEAREST FOR APPLICANT TO FILL IN CROSS.ST. /- IDCZI V V NO. EACH FEE � � R E C E P T $ S OWNER L'- '. Lb LIGHT 1� ) MAIL S T�jTAL ,FIRST.20 20 .20 ADDRESS 2 �-- �gLUA SWITCHa "� OVER 20 3 .10 CITY MM3 o TEL. NO.2� LIGHTING I TOTAL FIRST 20 �� 20 3 11 RLAN CHECK APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE-LDRYER-LWTR.HTR.— CITY TEL. NO. STA.COOK_DISP.I F.A.U.'I CONTRACTOR n1...LtGL-( LIaNi� SPACEL HTR. AIR COND. I ADDRESS 22 CS CLOTHES WASH, f DISHWAS'H.1 0�, CITY ISN FAN_OTHER. 1.00 LICENSE 1-40.Q-45 CLASS.13"I Salo MOTORS,TRANSFORMERSRATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE $ AND STATE-THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY TYPE OVER TO WITH ALL :COUNTY ORDINANCES AND STATE LAWS REGULATING 0 - 1 1.00 ELECTR[CAL WIRING. I HEREBY CERTIFY THAT IAM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF., AND INTEND TO d. 10 - 50 5.00 RESIDE IN,, THE ABOVE DES.CRIZED RESIDENTIAL PROPERTY. 0 I NATURE V 50 - 100 10.00 .P.ERMITTEE Ad too'- 500 1s.00 ISTRICT G OP ZONE P OCEMgD b SIGN GAS TUBE., OR IGN AND ONE CIRCUIT 3..00 .3 aMARQUEE ADDITIONAL CIRCUITS 1.00 OTES: Z 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 APPROVALS_ DATE INSPECTORS SIGNATUREEMP. POWER POLE UNDERSLAB WORK RRHNDUIT PERMIT FEE (SUB TOJFE,044�po,,: �— PLAN CHECK FEE (SO% PERMIT THORIZED PERMIT ISSUING FEE UTILITYCO.NOTIFIED / Lv J SUPPLEMENTAR RMIT ISSUINFINAL TOTAL F �,- JOTEPH C. ROOHAN. SUPERVISING ELECTRICAL ENGINEER PLAN CHECK ALIDATION CK. M . CASH PERMIT VALIDATION G M.O. CASH: ( �;n9 5 7 6% AN24 2 0 2,3.59- -E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE