HomeMy Public PortalAbout5018 BALDWIN AVE_Electrical__ (2) I6A663.CESO6 le--61 ` - APPLICATION FOR EfECTRICAV PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRESS
BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING FOR APPLICANT TO FILL IN .
1 T E M NO. I EACH FEE
OUTLETS: (FIRST 20) $20 $ �g OWNER
LIGHTS RECEPT. SW. �/ MAIL
OUTLETS: (ADD'L UNITS) / 10 ADDRESS
LIGHTS RECEPT. SW.
LIGHTING FIXTURES: (FIRST 20) .20 6J?'1 CITY TEL. NO.
LIGHTING FIXTURES: (ADDITIONAL) ,10 ELECTRICIAMCHARDSON ELECTRIC
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 8923 Y. Broadway
GAR ISP STA.COOK v CITY ban Gabriel TE %lA.po A .7-0539
D ASH. T .-WASH.` STATE
SPACE HTRS. .APP.(+/z H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT O. G, -ZONE P SSED,BBY
O 1 1.00
1 3 1.50 INSPECTION RECORD
3 8 2.00
O
8 15 2.50 V
a
15 50 3.00 0
50 100 5.00 W
b.
SIGNS: NO.TRANS. h
NO.LAMPS Z
SERVICE 0-600V-NOT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00'
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
WIRING k'. �0/�� `' .tiv�...=, •.% /�
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED LOS ANGELES COUNTY AND STATE OF FIXTURES I �7�,� ��,,.a7 L'I�''✓
CALIFORNIA OR THAT M THE LEGAL OWNER O HE OVE
DESCRIBED RES ENTI OPERTY. POWER
5
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITT //
FINAL idljA o%v.`i ✓""`:'A- ':✓ /
0 LIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
MO CASH
, 5z47U OCT 8 2 a 12.90-