HomeMy Public PortalAbout10416 MILOANN ST_Electrical__ 76A689-CE806 4-89 APPLICATION FOR ELECTRICAL 'PE 4e��
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ® t 64AAlu
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE,.COUNTY ENGINEER /
COLEMAN-W. JENKINS. SUPT. OF BUILDING LOCALITY /JC�N6 �l
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPTACLE) TOTAL NO. EACH FEE /J,rJ
LIGHT L OUT/L�ETS FIRST 20 8.20 $ +.r MWNER /f[/G
AIL
SWITCH Jr �Ci ADD'L 1O ADDRESS,S
OVER 20 7
TOTAL FIRST 20. 20 CITY TEL.
LIGHTING FIX.. RES
FIXTURES ADD'L
VER CONTRACTOR
OVER 20
RANG98 CLO.DRYERS WTR.HTRS. 1.00 �� ADDRESS
GARB.DISP.. STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.ryWASH. STATE.
SPACE HTRB. STA.APP.(V.X.P.MAX.) �. .50
LICENSE NO.
MOTORS.- OVER - .NOT OVER H.P. DISTRICT O. GRO P FJ' PRO SSED B�
O 1 1.00 �� L
1 9 1.50 INSPECTION RECORD
s S 2.00
8 is '2.50 `
is so 3.00 O
U
s0 100 5.00
1 1-
SIGNS: NO.TRANS, 0
NO.LAMPS
W
SERVICE 0.S00V•NOT OVER 200A 1.00
y
SERVICE 0•600V-OVER 200 A. 2:00 ?
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
r
PERMIT ISSUING FEE 1200. r
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE s APPROVALS DATE INSPECTOR'S SIGNATURE
1' HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSEAS WORK '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING / ��•
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY A STATE OF
CALIFORNIA OR THAT I A EGA R OF,A INTEND TO POWER
RESIDE IN,THE ABOVE D NTIAL P ERTY.
SIGNATURE UTILITY CO:NOTIFIED
OF PERMITTEE
FINAL
VALID AT JOSEPH'e ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L&c)o 4.6 2"S IIAR 14 2 D 1 1.8 0ro
77/,ow v