HomeMy Public PortalAbout10539 DANBURY ST_Electrical_7/29/1964_outlets 76A6B4-CE0O610-82 APPLICATION FOR ELECTRICAL PERMI , .,,j�-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILT" [�
BUILDING AND SAFETY DIVISION ADDRESS k6S 3Q, D.J
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPF. 1 TOTAL NO. EACH FEE 6
1-gi1111 OUTLETS FIRST 20 M S 2O $
OWNER
CAM LINT nC Q� MAIL
..ITCH. � AOD L j� ADDRESS
OVER 2O 1O
TOTAL o CITY TEL. NO.
LIGHTING FIRST 20 O .20 6O
FIX TU REG )/ ADD'L ID ELECTRICIAN
o 20
YER
RANGES CLO.DRYERS WTO.HTflS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL. NO.
DISH WASH. t AUTO.-WASH. STATE
SPACE HTRS. STA.APP.1l/.H.P.MA%.) ,50 LICENSE NO. Cqt A ,
MOTORS: OVER NOT OVER H.P. - u DISTRrICT'1NO. GROUP ZONE PROCESS/E D BY
0 , 1.00
, — 3 ,.so INSPECTION RECORD
3 a 2.00 - >-
8
a ,s 2.50 O
V
15 50 3.00 K
50 100 5.00 O
SIGNS: NO.TRANS. ttt[aLLL'
NO.LAMPS
N
z
SERVICE O-GOON-NOT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 -
TOTAL FEE $
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS GATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY r� CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. j WIRING �'L�
1
HERESY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF i,p FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF TXE ABOVE
DESCRIBED RESIDENTIAL P RTY. POWER
SIGNATURE UTILITY CO.NOTIFIED �I
OF PERMITTEE FINAL I OLOV O
VALIDATION ARTHUR C. VEIT
AMO CASH -
SUPERVISING ELECTRICAL ENGIN ER
CK
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