HomeMy Public PortalAbout10538 DANBURY ST_Electrical_7/29/1964_outlets APPLICATION FOR ELECTRICAL PER�f19 .
T6AB83-CEBOfi 10-62
F COUNTY OF LOS ANGELES JAIA DEPART
MENT OF COUNTY ENGINEER eua01NG BUILDING AND SAFETY DIVISION ADDRESSJOHN A. LAMBIE, COUNTY ENGINEERWILLIAM A. JENSEN, SUPT OF BUILDING - LOCALITYNEAREST
FOR APPLICANT TO FILL IN CROSS ST.RECEPT. TOTAL NO. EACH FEE1 OUTLETS FIRST 20 $ 20 $ OWNER
LICRT rat ` ^p MA9 ADD'L QADDRESSOER 20 O .1DTOTAL CITY TEL.LIGHTING S20 .20FIXTURES ADDt20 .10ELECTRICIApN
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS DGARB.DISP.1 STA.COOKCITE. TEL.
DISHWASH.1 AUTO.-WASH. STATE'
SPACE HTRS. 2STA.APP.('H.P.MAX.) .50 LICENSE NO. "I I1J
MOTORS: OVER NOT OVER H.P. DISTRICT NO. yGROUP ZONE PROCESSED BY.
O 1 1.00
1 3 1.50 INSPECTION RECORD
3 i s 2.00 O
a 15 2.501 U
m
15 50 3.00 - 0
50 100 5.00
a
SIGNS: NO,TRANS. 2
NO.LAMPS _
SERVICE 0-60OV-NOT OVER 200A 1.00 OJD
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 a V
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ �+
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE ..
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 7. CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR
LICENSED..AS REDUIRED BY LOS ANGELES COUNTY AND $TATE.OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT. OPERTT. POWER p -
OF PERMISIGNATUTTEE l// UTILITY CO.NOTIFIED fY
FINAL
ULIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
ACo1,9 3 1�- Ja2 9 2 D 18.90-
4