HomeMy Public PortalAbout8624 ROCCUS LN_Electrical__ 78A6819-CE806 8-84 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 8624 Roeow I ane
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY ?San Babriel
[NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT TOTAL NO. EACH FEE
OUTLETS FIRST 20 JOT S.20 S OWNER SCOtt oulter, &�-1 Cgmpw
LIGHT `�/ MAIL
ADD'L ADDRESS 5313 E Beeer Blvd.
"ITCH.� % —b� OVER 20 .10
L CITY TEL.NO:
'LIGHTING TOTA
1t F]RST 20 J .20 � '
FIXTURES 1 ADO'L .t0 ELECTRICIANFranklin
OV R 2O
NGEB :DRYER WTR.HTRB. 1.00 ADDRESS U93 Murf—ee Avenue '-
aAB. I8 A.COO
IaHwa AUT_coc H. 2 CITY CO Rivera, TEL.NO. O X
STATE
ACE HTRB P;(yy H.P. .50
LICENSE NO. 86190 cl0
M ORae OVER NOT OVER H.P. DISTRICT NO. I
eGROUP] ZONE gROCESSED Y
0 , 1.00 l+
1 s 1.50 INSPECTION RECORD
s a 2.00 OV
8 I5 2.50 D:
1s so 3.00 1
50 100 15.00 1. aW
N
SIGNSi NO.TRANS. Z
NO.LAMPS
SERVICE 0.60OV-Nor OVER 200A 1.00
SERVICE o-60oV-ovER 200 A. 2.00
SERVICE OVER 60OV 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE S 6
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPL CATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING )
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY ELKS COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT AM G4 OWNER OF THE ABOVE
DESCRIBED REBIDENTII,
R POWER
SIGNATURE UTILITY.CO.NOTIFIED S
OF PERMIT'I'Vir [
FINAL
VALIDATION A RTR Ulf C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
Lhuo 4 5 5 0 OCT 5 2 A 17.10-