HomeMy Public PortalAbout9560BISBY ST_Electrical (3) ` IRMPLIE CITY
76AS"-LIQ-91 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER >ourLDING
BUILD NG AND SAFETY DMB10N ADDRE"
JOHN �. LAMBIE. COUNTY ENGINXIM
W,1 I IAM A.JENEEN• Sil'T OF■UILDINS LOCALITY
N LAREST
FOR APPLICANT TO FIL- IN . CROSS 15T. r
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F MT lO) SAO « a OWNER Al
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LIGFMNG FO(TURISI (Flvr to) .10 crEY Tw- N
UGJ-MKG FTXTURESr (ADDMONAL) .10 ELECTRICIAN
CLO.DRYI" WTW. 1.00 ADDRMM
DUP XT,-'CPOK
TI11L-NO.
DI8H-7ABH. AUTO.-wAIH.
15TAT'6
Acs STA.APP.(?A H.P.NAR.) .150 klCEINSIZ NO.
MOTORS, Ovmt NOT OYmm H.P. DST NO. G P ESSED Y
o , 1.00
7/V 1
A 1.150 INSP ON RKORD r
a — 15 2.06 -Qft�11 O
a 1-15 s 40 Yf y'-aj
IS 150 a.OQ ILrYY rx5•��
15O 100 15.00
naNSI NO.TXAX&
NO.LAW"
BVZVICk O-EOOV-NOT OvmAdOA 1.00
SERVIC[0-6bOv-OVMt 100 A. r.00
SERVICE GVMR SOOV 15.00
YI*C
i
PRIIrr IMWING FEE 2.00
•UPPLYMENTA"P"Mrr IMUING'Fm ,.00
TOTAL FEE i f,
1 HIMMY AC72(OY1Lmai THAT 1 HAYt RiAD TNI• ArrI..ICATI ONLA dv OA 1
AHD+TAT= THAT Tru AROYIi 15 CDnptKcr AND AaRQ To compLY La"
wma ALL COI RlTY 6IeDIHANCi8 AND STATK LAWS MOULATINa
[L[cTivaAL 1g111Ha.
I H»Y Ct1TRFY T}U&T I AM rRDrO,LY POWISTl�ti AND/OR
ucLNIm Al R[QWOt>m WY LOS AWWM" COUNTY AND /TATI OF
CAL.IFOIO4 A OR THAT 1 AN LiaAL OVrNIR OF TH= A lOV[
ppglll'lal It/
•Iat�ATURE OTM
of SRM
VALIDATI ARTHUR C. VEIT
cx Mo cJ►rrl SUPIO[v1A1;•IG EtiecTRIcAL ENGINRmR
113 3 1 9 2,Q� MAY —28 2 A
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