HomeMy Public PortalAbout5426 ACACIA ST_Electrical_7/14/1965_outlets 76A663-CES06 9-64 APPLICATION FOR ELECTRI L P RE MIT
a C0UNvrY OF LOS ANGELES L
DEPARTMENT OF COUNTY ENGINEER BUILDING t'+LL �
BUILDING AND SAFETY DIVISION ADDRESS J 7" !T �T
JOHN A LAMBIE, COUNTY PENGINEER , �y� r�
COLEMAN W JENKINS, SUPT OF BUILDING LOCALITY r G:
NEAREST
FOR APPLICANT TO FILL IN ICROSS ST if'Y
RECEPT TOTAL NO EACH `I hFEE
OUTLETS' FIRST 20 S 20 $ 9 OWNER
LIGHT /�(,�� fJ
/ � /y{?l/,e J��rmeADD'L ADDRESS
swlrcH OVER 20 10
�
LIGHTING TOTAL ' FIRST 20I 20 CITY 0 6&4"tlL-, �/TsELL NO �-,p
FIXTURES 1-1 O�DR20 10 ELECTRICIAN // dolvd-Ic"�// 1A4,,cd /��
RANGES CLO DRYERS WTR HTRS 1100 ADDRESS '?'Ir� `tf I-S 6741
GARB DISP STA COOK
CITY �Q� B`1 TEL NO
DISHWASH AUTO-WASH STATE
SPACE HTRS STA APP (1h H P MAX 1 50 _ LICENSE NO rS�3
MOTORS OVER NOT OVER H P DISTRICT NO ILYO P ZONE P O E
O 1 100
1 3 150 INSPECTION RECORD
3 S 200 d
O
8 is 250 V
15 50 300
O
s0 100 500 '
U
_ W
NO TRANS D.
SIGNS NO LAMPS I Z
SERVICE O 600V.NoT OVER 200A 100 '
SERVICE O 600V-OVER 200 A 200
SERVICE OVER 600V Soo
MISC
1
PERMIT ISSUING FEE 206 Z
SUPPLEMENTARY PERMIT ISSUING FEE 100 '
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATICA APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT r0
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING a
ELECTRICAL WIRING
WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES • e - f rV
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN, THE ABOVE DES R:;;ZTIALy/ PR RTY POWERSIGNATURE �' UTILITY CO NOTIFIED
OF PERMITTEE
FINAL 4y
ILAIIDATION /'i0,fl�PH C ROOHAN
OK J
MO CASN d SUPERVISING'ELECTRICAL ENGINEER
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!AC 3 6 641-0 JUL 14 .2 D �' 3.4 0