HomeMy Public PortalAbout9068 ACASO DR_Electrical_4/2/1962 l.C/C
ISAG63-CEBOG 10-60 APPLICATION FOR ELECTRICAL PERMIT - 1
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING 9Fe�sd
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A JENSEN,SUP T OF BUILDING LOCALITY
NEAREST I
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES _ OWNER A9
1 T E M NUMBER EACH FEE MAIL
OUTLET S $ ADDRESS /1 i
L16HT RECEPT SW 10 O CITY TEL NO
LIGHTING FIXTURES 10 Q
ELEC RANGES CLO DRYERS - ELS ECTRICIAN w v L L o C
WATER HEATERS SO ADDRESS 000'0- I � S' ./
ELEC SPACE HTRS DISHWASHERS �9
CITY . f S s TEL NO •
GARBAGE DISPOSERS AUTO- STATE s
WASHERS STA COOKING UNITS r 25 ' LICENSE NO
MOTORS OVER INC H PDIS�J4� O GR Z NE SED Y
O— I/2 25
yp— 2 50 INSPECTION RECORD }
2— 5 100
5— 15 ISO u
_/ � aaj
15— SO 250 Te a)i�( 0
SO— zoo Soo
SIGNS NO TRANS
Ny
NO LAMPS L.
SERVICE 0-600V 0 � 100
SERVICE OVER 600V Soo
M ISC
WIRING PERMIT 100
FIXTURE PERMIT too- 400
SUPPLEMENTARY PERMIT Sp
TOTAL FEE S
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 ,/1d/!
9/!.!%ll
ELECTRICAL WIRING , WIRING to v
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES `
CALIFORNIA OR THAT 1 AM THELEGAL OWNER OF THE ABOVE POWER r I JFA
DESCRIBED RESIDENT I OPER
SIGNATUREUTILITY CO NOTIFIED
OF PERMITTE FINAL
VALIDATI ARTHUR C.VEIT'
CK Mo cws SUPERVISING ELECTRICAL ENGINEER `
N
1s1.�10 3 5 5 PR 2 2 D
4.65 `�