HomeMy Public PortalAbout4861 ARDSLEY DR_Electrical__ 78A883-CEHOB 4-80 APP I C p MN F O E L E CT PU C /� II IP E.R 1�/1 R -
COUNTY OF LOS ANGELES 7777�LII} 11��1J IL}tem 11�lD/�ll'l15 IIID U��/p1�1
DEPARTMENT OF COUNTY ENGINEER BUILDING F r P��' ' ' � fG� Dr`
BUILDING AND SAFETY DIVISION ADDRESS,
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY 71e,>",131-L
FOR APPLICANT TO FILL IN CROSS s. / �►1 L e- l %'L 4"(
PERMIT FEES -
ITEM _ NUMBER ' EACH FEE OWNER
OUTLETS: $ $ ADDRESS
A LIGHTS RECEPT: SW. '.10
LIGHTING FIXTURES' _
'"' ELEC. .10 CITY TEL.NO.
RANGES "CLO. ELECTRICIAegNq
WA T E R HEATERS - - ..50 /- yL4ADDRESS -• f -// / "r/L.'� ms's i'y y'
ELEC.SPACE HTRS. DISHWASHERS TY Si' R ��l�1 r TEL.NO.
GARBAGE DISPOSERS AUTO.. ATE J!�
[y-WASHERS STA,COOKING UNITS .25
CENSE NO.
MOTORS: OVER INC. H.P. DISTRI O GRQi1P Z 'N PRO S 'D BY
�� .25 •s
1/2 — 2 .so - r INSPECTION RECORD - -
2 5 1.00
a.
s — 15 1ao O.
V.
is — so 2.50 O
50 — 200 5.00
V
NO TRANS. -
LU
SIGNS: CL
NO:LAMPS Z-
SERVICE O.60OV 1.00 Q '
ly
SERVICE OVER 600V 5.00 }
misc.
x
WIRING PERMIT 1,00
FIXTURE PERMIT 1,00.
SUPPLEMENTARY PERMIT 50 ,
TOTAL FEE_ $
1'HEREBY ACKNOWLEDGE.THAT 1 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. - WIRING
I. HEREBY CERTIFY THAT I AM, PROPERLY REGISTERED AND/OR.LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES -
CALIFORNIA OR THAT I AF THE LEGAL -OWNER. 'TH ABOVE
DESCRIBED RESID NTIAL ROPERTY. POWER -
SIGNATURE ( } UTILITY CO. NOTIFIED
OF PERMITTE -
IDATION ARTHUR C.VEIT.'
CK Mo' CASH SUPERVISING ELECTRICAL ENGINEER