HomeMy Public PortalAbout5324 ZADELL AVE_Electrical_3/12/1965_ ♦AyL,F c
76A663-CE606 9-64 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS /UUFL�-
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUP7X/&I
OF BUILDING LOCALITY /,S
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. [
RECEPT. TOTAL - NO. EACH FEE
LIGHT OUTLETS, FIRST 20 $.20 $ OWNER
MAIL
AOD'L .t0 ADDRESS
SWITCH. OVER 20
TOTAL CITY TEL.NO.
LIGHTING I FIRST 20 .20
FIXTURES ADD'L
OVER 20 .10 ELECTRICIAN
RANGER CLO.DRYERS WTR.HTRS. 1.00 6417 ADDRESS
GARB.DISP.. STA.COOK
CITY /I/ F_ ±EL.NO.
DIBHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Vs H.P.MAX.) .50 LICENSE NO. pZ 10
3 v
MOTORS, OVER NOT OVER H.P. DISTRACT NO GR__Ck E .RO SSED BY
O 1 1.00
1 s 1.50 INSPECTION RECORD
s B 2.00AI eWiVe Q
B 1s 2.50 `,e — u
is so 3.00 dw
(ly _ p LS CdAl,/�S-P O
so too 1 5.00 �y �1�, � }�(/,��� �
SIGNS, NO.TRANS• ,(yl
NO.LAMPS
Z
SERVICE O.600V•NOT OVER 200A 1.00
SERVICE O.600V•OVER 200 A. 2.00
SERVICE OVER SCOV 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE' $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SZGNATURX
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1HEREBY.CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR HAT 1 AM THE LEGAL WHEN OF, AND INTEND TO
RESIDE IN,TE A VE DESCRIBED RES TIAL PROP TY. POWER
SIGNATUR TT UTILITY CO.NOTIFIED
OF PERMI
VALIDATI JOSEPH C. ROOHAN
SUPERVISING Iry ECTiil AL ENGINEER
• CK MO• CASH.
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