HomeMy Public PortalAbout10555 OLIVE ST_Electrical__ 76A66S-CES06 4.65 APPLICATION FOR ELECTRICA PERMIT- IJ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS � �,
JOHN A. LAMBIE,.COUNTY ENGINEER 5
COLEMAN.W. JENKINS. SUPT. OF BUILDING LOCALITY ✓ Lam.
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPTACLE TOTAL INOEA FEE � ��
UTLE FIRST 20 S OWNER
LIGHT MAIL
SWITCH ADD'L ADDRESS
OVER 20
TOTAL FIRST 20 .� CITY TEL.NO.
LIGHTING 1 FI TURES
FIXTURES J( ADD'L CONTRACTO
OVER 20RANGES CLO.DRYERS WTR.HTRS. ADDRESS.V/�STA.COOK CITY TEL.NAUTO.-WASH. STATE
SPACE HTRS. STA.APP.(yt N.P.MAX.) . A LICENSE NO.
MOTORS, OVER NOT OVER H.P. •Dl§"ICT N GRoljp PR
O 1 1.001 42
1 s 1.50 INSPECTION RECORD
s S 2.00
e 1 s 2.50
Is so s.0o <_ > o
H U
50 100 5.00 ag
SIGNS, NO.TRANS. r� O
NO.LAMPB
SERVICE O-SOOV.NoT OVER 200A 1.00 ��r"�� ^ to
/ to
SERVICE O-SOOV-OVER 200 A. 2.00 z
SERVICE OVER SOOV 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00•
TOTAL FEE 2.0 ® APPROVALS DATE INSPECTOR'S SIGNATURE
1
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB 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 ..~"'
1 HEREBY CERTIFY THAT I AM PROPERLY EGISTERED AND/OR FIXTURES �-
LICENSED AS RE RED BY LOS ANGELES U.TY AND STATE OF
CALIFORNIA OR I A THE LEGA OW R AND INTEND TO POWER
RESIDE IN,THE B E CRIB D R ID TI ROPERTY
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITT
FINAL
LIDATION JOSEPH C. ROOHAkl
(�)MO CASH SUPERVISING ELECTRICAL ENGINEER
�J
01564�%'oo MAR 22 2 D 1. 3.8 0,