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HomeMy Public PortalAbout8628 ROCCUS LN_Electrical__ 76A668-CE806 9-66 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 7ADDRESIS BUILDING AND SAFETY DIVISION JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGFOR APPLICANT TO FILL IN RECEPT. 1 TOTAL NO. EACH FEE _ - '� I OUTLETS FIRST 20 1$.20 $ OWNER LIGHT J} MAIL SWITCHADD'L 1O ADDRESS 8 ya OVER 20 TOTAL FIRST 20 .20 CITY ( TEL.NO. d T" LIGHTING FIXTURES FIrl XTURE6 ADD'L 10 CONTRACTOR OVER 20 RANGES DRYERS WTIl.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA. ADPL. .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT_. GRO P ZONE P C D BY O 1 1.00 3 1 L., . 1 8 / 1.50 /' r INSPECTION RECORD s S 2.00 8 Is 2.50 19 50 8.00 t 50 100 5.00 ` u SIGNS: NO.TRANS r NO.LAMPS O ri1 SERVICE 0.600V.NoT OVER 200A 1.00 Wa SERVICE 0.600V-OVER 200 A. 2.00 N z SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 'L dV SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE 10 S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAS 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 �t r I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIRFONIRM A OR THAT 1 ATHE LEGAL OWNER OF.AND INTEND TO POWER RESIDE IN.THE AB VE DESCRIBED ESIDENTIAL P PER Y - SIGNATUREI�� UTILITY CO.NOTIFIED , OF PERMITTEE u�V FINAL IDATION JOSEPH C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER LAL;o 9 1 3 5 JU416 2 A 5.10- cc 76A888_cEe06.3_64 APPLICATION FOR ELECTRICAL PERMIT . COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 7NEAREST G BUILDING AND SAFETY DIVISION gRooms JOHN A. LAMBIE, COUNTY ENGINEER 3811 WILLIAM A.JENSEN,SUPT OF BUILDING Y FOR APPLICANT TO FILL IN T. RECEPT. TOTAL FIRST 20 NO. $EACH FEE OWNER' SCO'�'t LIGHT OUTLETS .20 Q a MAIL //// I'� ADD'L ADDRESS SWITCH. OVER 20 .10 LIGHTING } TOTAL FIRST 20 .20 CITY Los Angeles 22 TEL.NO. FIXTURES �� ovDR L ,10 ELECTRICIAN FrakkIs Electric 60R81WTR.HTRS. 1.00 V✓ ADDRESS"CITY Pico ldver TEL.NO'..AUTO.•WASH. STATEd q,s0LICENSE NO. 86190 CIO OVER NOT OVER H.P. DISTRICT NO. G . P E O f 1.00 1 s I rl 1.50 INSPECTION RECORD y a S S 2.00 O V 8 is 2.50 is so 5.00 0 ' U s0 100 5.00 nW. BIdN81 NO.TRANS. Z NO.LAMPS SERVICE O•SOOV.NoT OVER 200A 1.00 SERVICE O•sOOV•OvER 200 A. 2.00 SERVICE OVER SOOV 5.00 misc. PERMIT ISSUING FEE 2,00 ed SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE s 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATtIRE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT .A WITH ALL-COUNTY ORDINANCES'AND STATE LAWS REGULATING p ELECTRICAL WIRING. WIRING �P �.✓ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERFF4 AND)OR LICENSED As REQUIRED BY LOB ANGELES COUNTY AND STATE OF FIXTURES , CALIFORNIA OR THAT I AM THE GAL OWNER OF THE ABOVE DESCRIBED RESIDENT RO POWER / 'SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL (DATION ARTHUI$ C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER Lh'u-0 4 7 31%-06 OCT 9 2 A 1 920, 4 !fes i9v J,a,V�