HomeMy Public PortalAbout5330ALESSANDRO AVE_Electrical (2) 76A663-CE806 8-62 APPLICATION FOR ELIECTRICAL PEWIT
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
FOR APPLICANT TO FILL IN CROSS ST
R E C EPT� TOTAL NO EACH FEE y�
OUTLETS FIRST 20 $20 $ OWNER
LIGHT MAIL
ADD'L 1O
LIGHTING ADDRESS
SWITCH OVER 20 `
TOTAL F1Rsr20 20 CITY TEL NO
�
FIXTURES ADO'L 10 ELECTRICIAN
OVFR 20 JLC
RANGES CLO DRYERS WTR HTRS 1 OO ADDRESS�/,�7
GARB DISP STA COOK CITY TEL N �>Z
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (v,H P MAX 1 50 LICENSE NO
MOTORS OVER NOT OVER H P DISTRICT N G P ZORE I PR.QCESSED BY
O 1 loo
1 3 150 INSPECTION RECORD
3' 8 200
8 15 250
15 50 300
a
50 100 500 0
SIGNS NO TRANS ai
NO LAMPS O
SERVICE O 600V NOT OVER 200A 100 r)
SERVICE O 600V OVER 200 A 2 00 y
SERVICE OVER OOV 5 00 ?
MISC A le
PERMIT ISSUING FE
200
SUPPLEMENTARY PERMIT ISSUING FEE 100
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 CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ' ` A f
ELECTRICAL WIRING WIRING
1 HEREBY CERT Y THAT 1 AM PROPERLY RE TERED AND/OR ° ✓
LICENSED AS RE UI ED BY LOS ANGE S COU AND STATE OF FIXTURES
CALIFORNIA OR TH I AM THE LEG L CW
O THE ABOVE
DESCRIBED REST N IAL OPERTY POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITT /y/1�7✓ r� �? _ i+lJ�
FINAL
//{)�LIDATION ARTHUR C VEIT
,.�/ MO CASH SUPERVISING ELECTRICAL ENGINEER
6.a JON 144 2 D j 4. 0-
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