HomeMy Public PortalAbout5001 ARDEN DR_Electrical__ 76A663_CE60610_69 APPLICATION FOR ELEC RIC PERMIT 1
COUNTY OF LOS ANGELES ■V RIC ���Ey�
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS '0 • lr'1r a
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITYIT
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FOR APPLICANT TO FILL IN NEAREST
PERMT.FEES CROSS ST.
ITEM NUMBER EACH FEE OWNER
OUTLET $ $ Sc) MAIL
ADDRESS
LIGHTS RECEPT. SW. - .1O
LIGHTING FIXTURES 10 CITY L.NO. p
ELEC.RANGES CLO.DRYERS
ELECTRICIAN
WATER HEATERS 1 .50 ADDRESS
ELEC.SPACE HTRS. DISHlWASHER CITY ' _ TEL. NO. rr
GARBAGE DISPOSERS ` AUTO.- yy STATE S
WASHERS STA.COOKING UNITS .�C..� '25 LICENSE NO. `
MOTORS: OVER INC_ H.P. `DIISTRIICT(BO. I G�P-I Z[O�NE PR CESSED BY
O— 1/2 .25
1/2- 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
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' SIGNS: NO.TRANS.
NO.LAMPS
' SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00 —�--[—
' MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT - 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGEL COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LE OWNER OF THE ABOVE
DESCRIBED RE51DEI L PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED If
OF PERMITTEE
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