HomeMy Public PortalAbout5729 ROWLAND AVE_Electrical__ s f
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msn-M°B APPLICATION FOR ELECTRICAL PERMIT 7
COUNTY OF LOS ANGELES.
DEPARTMENT OF COUNTY ENGINEER BUIL3ING �7
BUILDING AND SAFETY DIVISION ADDRESS 7
JOHN A.LAMBIE,COUNTY EN6INEM
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEEARE8sT
PERMIT FEES j�
ITEM NUMBER EACH FEE MAIOWNER Y� �
OUTL ADDRESS J 7 2-1 }�
LIGHTS' RECEPT. SW !AL $.10 $ "
LIGHTING FIXTURES .10 ITY `•- TE A-r 7,is Y-(,
KIM RANGES CLO.DRYERS ELECTRICIAN �
WATER HEATERS .80 ADDRESS
ELEC.SPACE ATRS. DISHWASHERS CITY TEL.NO.
GARBAGE DISPOSERS AUTO.. STATE
WASHRE STA.COOKINU ITS ,28 LICENSE NO.
MOTORS: OVER INC. H.P. :DlsmcT No. GR9.LtP ZONE P ESSED BY
0— 1/a .28
Va -- 2 .50 INSPECTION RECORD.
2 — s 1.00
8 — 181.80 U
!s sQ 2.80 OG
so — 200 s.00 O
I NO TRANS. 4 r YT l tJ w
SIGNS: JTy! rif
_ r
SERVICE O-GOOV !_ 1.00 rp rol b 16 0 e tl f.^. YP r—
SERVICE OVER SOOV 8.00 p .,c,/y -e ;t
MISC.
WIRING PERMIT 1.00 7- r1jr
FIXTURE PERMIT 1.00 .[Y
SUPPLEMENTARY PERMIT .80
TOTAL.FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SII9NATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND SPATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. .WIRING r^ '.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR.
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED REST PT771 . POWER
SIGNATURE
OF PERMIUTILITY CO.NOTIFIED
TT
ll FI .4
VACNO SUPERVISING ELECTRICAL ENGINEER
CK Mo /CASH
s�0 7 1 7 JAN 5 2- D
5.,Ci 5 �
e.
76A663-CE606 9-66 APPLICATION FOW ELECTWAAL PERMIT ,ul
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESSBWia.hN
JOHN A. LAMBIE. COUNTY ENGINEER S_7247 0
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Pim le,
NEAREST
FOR APPLICANT TO FILL IN CROSS BT.
RECEPT. 1 TOTAL NO. EACH FEE [�
OUTLETS $ $ _OWNER ;C,,k �• �b
LIGHT �� FIRST 20 .20 p� MAIL
SWITCH 1 ADD'L 1C ADDRES8 5 7 OL
_ OVER 20 -��`'
TOTAL FIRST'20 .20 CITY I el ° TEL.NO. " O'I
LIGHTING FIXTURES
FIXTURES /,2 10 CONTRACTOR 8W C
a•�
OVVERER 20 2 _
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA. APPL. .50 LICENSE NO.
MOTORS, OVER NOT OVER H.P. DISTRICT PO. GRQ! P Z E P CES D BY
O 1 1.00 -ScQ. -� .. .�
1 s 1.50 INSPECTION RECORD
s a 2.00
s 16 2.80
18
30 s.00
60 100 5.00 u
SIGNS, NO.TRANS Ot
NO.LAMPS GO
SERVICE 0.600V-NOT OVER 200A 1.00 W
la.
SERVICE O.600V.OvER 200 A. 2.00 ca
SERVICE OVER 600V 8.00
OTHER (SEE COMPLETE FEE SCHEDULE) _
PERMIT ISSUING FEE 2.00 &
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INBPECiOR'S SIGNATURE
TOTAL FEE $
I HEREBY ACKNOWLEDGE'THAT 1 HAVE READ THIS APPLICATI UNDERBLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - E
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO POWER 7
RESIDE IN,THE
E DESCRIBED RESIDE AL RTY.. 66
0 ��
LOF
IGNATURE UTILITY CO.NOTIFIED %/ .. i.`..
PERMITTE
FINAL
LI O CAS JOil!SUPE Ii C. G OHAN
ELECTRICAL
MO CASH SUPERVISING ELECTRICAL ENGINEER
LAL:o 9 0 2 6c,-- JUN 12 2 D 6.4 0cc
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