HomeMy Public PortalAbout6013 AVON AVE_Electrical_10/19/1965_ 76A663-CE6�6 3-64 APPLICATION FOR ELECTRICAL PERMIT
oI COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING +�
BUILDING AND SAFETY DIVISION ADDRESS ,]
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY44
_
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
7RECEPTTOTAL NO EACH FEE
OUTLETS FIRST 20 $20 $ OWNER G MAIL
ADD'L f0 ADDRESS SOVER 20TOTAL CITY TEL NO FIRST 20 20 _
FIXTURES ADD'L 10 ELECTRICIAN D A-I
OV R 20
[GARB
ANGES CLO DRYERS WTR HTRS too ADDRESS Q
DISP STACOOOK 'rL CITY TEL NOWASH AUTO WASH STATE
E HTRB STA APP (1/a H P MAX) SOLICENSE NO Of JU 0.4ORSI OVER NOT OVER HP DISTRICT NO GROZR
UP Z;9NE PESSED
O f 100 L .—1 J
I a 150 INSPECTION RECORD
a
a 8 200 0
u
8 1I3 2 130
18 SO 300
so foo 13 00 S LUD_
81dN81 NO TRANS to
NO LAMPS
SERVICE O SOOV NOT OVER 200A 100
SERVICE 0 SOOV OVER 200 A 1200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 1200,
SUPPLEMENTARY PERMIT ISSUING FEE 11001
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 6 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
WIRING
1 HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY B ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 HE LEGAL OWNER OF THE ABOVE
DESCRIBED REBID TIAL ZZ POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE
DATION ARTHUR C VEIT-
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
w- - L&O 6 6 0 0- OCT 19 2 A 2.0 0-
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