HomeMy Public PortalAbout9058 ACASO DR_Electrical_8/12/1963 yy T0allVlltl L al CRTY
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76A664 E806.8-62- APPLICATION FOR ELECTRICAL PERMIT
r� COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING SO' Pi
4j
AND SAFETY DIVISION ADDRESS rAn
JOHN A LAMBIE, COUNTY ENGINEER �.
WILLIAM A JENSEN,SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST ISI z)
ACEPT TOTAL N EACH FEE �''+ Q/s d
i OUTLETSFIRST 20 S 20 S OWNER (' p�,/�} /. /A� IC/AVS �(rr
LIGHT O MAIL
ADD'L / ADDRESS O �� !�'C/ jJ SV °
SWITCH r OVER 20 10 !7y�
LIGHTING 1t TOTAL F1RST20 2p CITY~^AfA4l TEL NO /' ,A
FIXTURES I ADO'L 10 ELECTRICIAN
11 OVFR 20
RANGES CLO DRYERS WTR HTRS 1100 ADDRESS
GARB DISP STA COOK
' CITY TEL NO
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (+h H P MAX) Sp LICENSE NO
MOTORS OVER NOT OVER H P DISTRICT NO GROUP ZONE I P C SED BY
O 1 100 . (9 . ./
+ s 1150 INSPECTION RECORD
s a 200 73
I 3
a 15 250 d A4&vq \
15 so 300 � %. �
SO 100 Soo 1 GY✓RA �/ .% _/ �j V
SIGNS NO TRANS
NO LAMPS O
H
SERVICE O 600V NOT OVER 200A
1001 11J
IL
SERVICE 0-600V OVER 200 A 200 V)
SERVICE OVER 600V Soo _ ?
MISC
r
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 ,
TOTAL FEE - ti C }
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S BIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING X9'47!
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1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM E LEGAL OWNE THE ABOVE +
DESCRIBED REBID TIAL Y POWER
SIGNATURE � �lil.L UTILITY CO NOTIFIED
OF P
ERM
I
TT 4-14 fi
FINAL
K MO
ARTHUR C VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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