HomeMy Public PortalAbout5014ALESSANDRO AVE_Electrical '6A663 CE806 140 61 APPLICATION FOR ELECTRIC PE MIT
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 LOCALITY
NEAREST J
FOR APPLICANT TO FILL IN CROSS ST
1 T E M NO I EACH FEE )'
OUTLETS (FIRST 20) $20 $ OWNER
LIGHTS RECEPT 9W MAIL
OUTLETS JADD L UNITS) ADDRESS
LIGHTS RECEPT SW +0
LIGHTING FIXTURES (FIRST 20) 20 CITY TEL NO
LIGHTING FIXTURES (ADDITIONAL) 10 ELECTRICIAN
RANGES CLO DRYERS WTR HTRS 100 ADDRESS l/ O
GARB DISP STA COOK A
CITY TEL
DISHWASH AUTO WASH STATE �,�'`
SPACE HTRS STA APP (+/s H P MAX) 50 LICENSE NO IJ
MOTORS OVER NOT OVER H P DIS TRI T-140 GROUPN CESSED B
o I too
+ 3 150 INSPECTION RECORD
r
3 8 200 C'
O
8 15 250 V
Iw
15 50 300 J0'
50 100 Soo V
W
a
SIGNS NO TRANS h
NO LAMPS Z
SERVICE o 600V NOT OVER 200A 100
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V Soo
M1SC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS ,,DATE INSPECTOR S 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 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR / v
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEG L OWNER OF THE ABOVE /
DESCRIBED RESIDENTIA ROP RTY POWER
SIGNATURE UTILITY CO NOTIFIED 1A! _ m
OF PERMITTEEy4kwe�--�
FINAL
VALIDATIO ARTHUR C VEIT
CK MO CAS
SUPERVISING ELECTRICAL ENGINEER
2 2 4 7 7 2 A 4 20 r
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