HomeMy Public PortalAbout4845 BALDWIN AVE_Electrical__ (2) � L
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16A663 CE806 6 62 APPLICATION FOR ECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT1_1 TOTAL NO EACH FEE
OUTLETS FIRST 20 $20 $ OWNER
LIGHT � MAIL
ADD L 10 ADDRESS
SWITCH /r OVER 20 _,.
F TOTAL CITY TEL NO
LIGHTING F1Rs720 � 20
FIXTURES ADD L 10 ELECTRICIAN
OVER 20
RANGES CLO DRYERS WTR HTRB 1100 ADDRESS ..(.�.
GXRB DIBP STA COOK CITY TEL NO / LI
DISHWASH AUTO WASH STATE
SPACE HTRB APP (/ H P MAX 50 LICENSE NO
OVER Nor oven HP DISTRICT NO GROUP Z E M=-
MOTORS Y
Ce
0 1 1 00
1 3 150 A `dl1} INSPECTION RECORD
3 8 200
8 15 250
T n O
15 50 300 (�
50 100 Soo
O
NO TRANS ~
SIGNS NO LAMPS W
O_
H
SERVICE O 600V NOT OVER 200A 100 Z
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE loo
TOTAL FEE -$13
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICAT ON APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY CONDUIT 1 .�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING I A ry?
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR J /
LICENSED AB REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM TME GAL OWNER OF THE ABOVE
DESCRIBED REBIDENTIA OPE '` POWER .i
p
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE
FINAL 3 c r
IDATION AR HUR C VEIT
O%LAIMO
CASH SUPERVISING ELECTRICAL ENGINEER
LhL,o 3 4 8.o APF 17 2 a 1 3 70-
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