HomeMy Public PortalAbout9014 ACASO DR_Electrical_6/30/1964_outlets 76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER y--
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY /" C
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. , TOTAL NO. EACH FEE
f OUTLETS
FIRST 20
$20 $ Gi MW NER
LIGHT !
3 ADD'L ADDRESS
SWITCH. OVER 2Ot.20
LIGHTING TOTAL (FIRST 20 2cs CITY _ TEL.NO.FIXTURES ! V DR 2 ELECTRICIANyOV RZO 7RANGES CLO.DRYERS WTR.HTRS. ADDRESS
GARB.DISP. STA.COOK
CITY
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(%2 H.P.MAX.) .SO LICENSE NO. -
MOTORS: OVER NOT OVER H.P. DISTRICT O. GROUP ZO E �PLRESSEC) BY
O 1 1.00 i (I /L/0"loZ
+ 3 1.50 INSPECTION RECORD
3 8 2.00
8 15 2.50
+5 50 3.00CL
}
50 100 5.00 O
_ _ V
SIGNS: NO.TRANS-
NO.LAMPS ad�
H
SERVICE 0.600V-NOT OVER 200A 11.00 V
W
SERVICE 0.600V-OVER 200 A. 2.00 4.
N
SERVICE OVER 600V 5.00 Z
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'$SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGf
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 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPER't`Y. POWER
SIGNATURE "," ��>j UTILITY CO.NOTIFIED � �+�`"�
OF PERMITTE -
FINAL
0CKLIDATION ARTHUR C. VEIT
MO CASH SUPERVISING ELECTRICAL ENGINEER
0 7 1 0- JUN3 0 2 D 5.00- a
1�e