HomeMy Public PortalAbout5840 PRIMROSE AVE_Electrical__ 6"663-CE806 9-66 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS - "T Q •�If�v ��
JOHN A. LAMBIE, COUNTY ENGINEER T
OLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST /
FOR APPLICANT TO FILL IN CROSS ST. d.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20MAO
$ OWNER a ���9?�� Com.
LIGHT r MAIL
SWITCH ADD'L ADDRESS
OVER 20
TOTAL FIRST 20 CITY TEL.NO.
LIGHTING FIXTURESC` a
FIXTURES Q� ADD'LCONTRACTOR
OVER 20yrs
GES DRYERS WTR.HTRS: 1.00 ADDRESS�tZ&/ �/i •//� � /s
GARB.DISP. 'STA.COOK CITY a--C -SCJ
TEL.NO.
DISHWASH. AUTO.-WASH. STATE sy
SPACE HTRS. STA. APPL. .50 LICENSE NO. /
MOTORS: OVER NOT OVER H.P. 'DIST�ICTwN ROUP ZONE PRO
O 1 1.00 U
1 3 1.5o INSPk TION RECOR
3 B 2.00
8 15 2.50
15 50 3.00 per,
s0 100 5.00 V
SIGNS: NO.TRANS Im
NO.LAMPS O
SERVICE 0-600V-NoT OVER 200A 1.00 W
n.
SERVICE 0.600V-OVER 200 A. 2.00 Z
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE $
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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDWOR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OW&LE F.AND INTEND TO POWER
RESIDE IN.THE ASO CRI ES N L PROPERTY.
SIGNATURE UTILITY CO.NOTIFIED {fry l
OF PERMITTEE F47
INAL �p / 421I4 J
/--V*LIDATION SUPE C. G ELL .V
C MO CASH SUPERVISING ELECTRICAL ENGINEER
.8380L% MAY 4 2 D 5.00- 10