HomeMy Public PortalAbout5725 OAK AVE_Electrical_7/10/1967_]6A663-CE8061-6] APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES I --
DEPARTMENT OF COUNTY ENGINEER BUILDING 7.2 OAS
BUILDING AND SAFETY DIVISION ADDRESS �-/
JOHN A. LAMBIE, COUNTY ENGINEER -�.� //J�
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY /CM/ �-�
NEAREST �ON K `.A • '
FOR APPLICANT TO FILL IN CROSS ST. Io P� /V
RECEPT. 1 TOTAL NO. IEACH FEE �i
OUTLETS FIRST 20 5.20 $ OWNER /c /•�. �y /:i i�i�
LIGHT J MAIL �I
SWITCH IT
10 ADDRESS S7ZS AIL fJl/E
OVER 20
�F�%/LC C1'T�% TEL. NO.Zp 6S7 ttp
LIGHTING 1 FIXTURES FIRST 20 .20 CITY /
FIXTURES I ADO'L IO CONTRACTOR
OVER 20 �I
RANGES DRYERS WTR. HTRS. 1.00 OO ADDRESS -SAA4
4E7 -
GARB. DISP. STA. COOK
CITY TEL. NO.
DlsNwnsH. AUTO -WASH. � STATE
SPACE HTRS. STA. APPL. .50 LICENSE NO.
MOTORS: OVER HOT OVER H.P. DISTRICT +�N[Qy GRpJ�jP Z E/ Pjj�OC���/$L
O t'l _yam/ I/�O
1 3 1.50 INSPECTION RECU1RD
3 S I 2.00
8 15 2.50
15 50 3.00
50 100 5.00
SIGNS: NO. TRANS
NO. LAMPS
SERVICE 0-60OV-NOT OVER 200A 1.00 / OL -
SERV ICE 0.600V -OVER 200 A. 2.00
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 12.00 •%/ OG -
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 /` - APPROVALS
TOTAL FEE 5 T 00
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION — UNDERSLAB 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
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM EGAL OWNE OF, NO INTEND TO POWER
REST DE IN. THE ABOVE DE REBI EN A OPERTY.
IS URE UTILITY CO. NOTIFIED
OF PER
OF PERMITTEE
FINAL
/ T,
CKK MID MOIO�I--(CA6H
SIGNATURE
/L/V1 7 o//( -e,
JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
L&o 4 9 8 e JUL 10 2 D 4.0 0" Q
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