HomeMy Public PortalAbout8615 ROCCUS LN_Electrical__ 76A683-CEA06 3-6f APPLICATION FOR ELIECTRICAL PERMIT
yCOUNTY OF LOS ANGELES
..aDEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 8616riloccus Tama
`JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN;SUPT OF BUILDING LOCALITY S brie.
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FE
OUTLET.0 FIRST 20 0.20 OWNER
LIGHT
AIL
SWITCH. OVERADD20 .10 ADDRESS' 1 y. Be"w Blvd.
' r
OTAL 6 CITY $ el@$ 22 TELc NO.
7.0
LIGHTING l FIRST 20 � .20
FIXTURES 1I ,�i` ADD�L .10 ELECTRICIAN t
OVOR
20
RANGES, o.nRYe wTR.HTRB. 1.001
I I ADDRESS 4623 Durfee Avenue
•
M.D .COO IB CITY CO Rivera TEL.NO.
SHWA AUTO.-WASH. STATE
ACEH _ P.( H. .) .SO o LICENSE NO. 1 Q 010
-R575RSI OVER NOT OVER H.P. DISTRIC NO. GROUP ONE PR ESSED BY
O t 1.00
I s 1.50 INSPECTION RECORD
s 8 2.00 V
es s 2.50 IN
IS so 3.00 O
so 100 5.00
h
SIGNS1 NO.TRANS• Z
NO.LAMPS
SERVICE 0.000V-NOT OVER 200A 1.00
SERVICE o-SOOV.OVER 200 A. 2.00
SERVICE OVER GOOV 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEEJA
rg
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A 1 APPROVALS .DATE INBPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE CONDUIT
WITH ACL-COUNTY ORDINANCES AND STATE LAWS ULATING /
ELECTRICAL WIRING. / WIRING'
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR _ •�
LICENSED AS REQUIRED BY L08 NGELES COUNTY ANd STATE OF FIXTURES
CALIFORNIA OR THAT I A LEGAL OWNER OF THE ABOVE
DESCRIBED.RESIDENTI .P d� POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE FINAL
IDATION A THUR C. VEIT
(CK)MO CASH SUPERVISING ELECTRICAL ENGINEER
a04 0 1 9- SEP 21 2 A 2 0.3 0