HomeMy Public PortalAbout5044 SULTANA AVE_Electrical__ 7GA683-CE806 1-57 APPLICATIO FOR ELEC ICAL PERMIT �ILJII
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER E BUILDING c�
'BUILDING AND SAFETY DIVISION ADDRE•o O J JCE
JOHN A LAMBIE COUNTY ENGINEERCOLEMAN W JENKINS, SUPERINTENOSNT OF BUILDING LOCALITYNEAREST
R IN CROSS BT
RECEPT TOTALmsOUTLFIRST 20 30 OWNER �[/ ELIGHT /J MAIL
SWITCH �Q ,s/� OVADD ER L 10 ADDRESS
TOTAL FIRST 20 20 TYTEL NO
L16HTING FI XTU REBFIXTURES ADD L 10CONTRACTOROVER 20 sRANGES MYER• WTI, HIES 100 ADDRQSJ/
,61
GAR[ DIV STA COOK CITY TEL NODIWWAW AUTO WAW STATEVAC[HTES STA ATLSO .� LICENSE NOMOTORS. ov[R NOT OVER HF DISIRIFJO G P Z E
O 1 100 �, (%�
OR
I — a ISO INSPECTION R ORD
a — B 200
S 15 250
16 SO 300 }
o.
Bo ROD Soo 0
SIGNOR a LAM•
SERVICE O SOOV NOT ow"200A 100
SERVICED SOOV OVER 200A 200 d
SERVICE OVER SOOV Goo
OTHER (RISE COMPLETE FEE•CH[OUL[)
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ROGUING FEE 100 APPROVALSMT[ INSPECTION
TOTAL FEE
I 0:1:9:HER[EY ACKNOWLEDGE THAT I HAVE READ THIS AI N UNDERSLAB WORK
AND[TATE THAT THE ABOVE 10 CORRECT AND AOR[[TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAW REGULATING 4f z
ELECTRICAL WIRING WIRING
I HERESY C[RTIPY THAT I AM (((OPER R[OIfTER[D AND/OR FIJ(TU EB _ I�
LIC[N[[D A[ IR[O GY LW ANO[L[ LINTY AND•TAT[OF
CALIFORNIA O AT 1 THE"GAL NO INTEND TO POWER
RESIDE IN TH A OV 6 RIE[ I T PROPERTY
SIGNATURE VTILITYCO NOTIFIED
OF PER MI
FINAL
r I DATION JOSEPH C ROOHAN
CK MO CASH SUPERVISING ELtCrRICAL QNGINQR
L& 6,5 2 3— SEP 8 2 D 1 1 ,$0 a