HomeMy Public PortalAbout5717 PRIMROSE AVE_Electrical_5/1/1962_OUTLET IA$6-6. 0:61 APPLICATION FOR ELECTRICAL PERMIT .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER (,p
WILLIAM A.JENSEN..SUP'T OF BUILDING LOCALITY /(r'�
NEAREST / �I�] ofi!/'
FOR APPLICANT TO FILL IN cRoss ST. C,_ lV ` VQ�/�_
I T E M_ NO.' EACH FEE
OUTLETS: (FIRST20) f s$.2O OWNER V f✓
LIGHTS RECEPT. SW. MAIL
OUTLETS: (ADO'L UNITS) .f0 ADDRESS
LIGHTS RECEPT. 8W.
LIGHTING FIXTURESI (FIRST 20) 20 CITY TEL.NO.
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS-,/ /Z
GARB.DISP. STA.COOK, CITY A
v V - TEL.NO./--I) 0f.21-
DISHWASH. AUTO.-WASH. STATE 2 0_S
SPACE HTRB. BTA.APP.(+/g X.P.MAX.) .SO
LICENSE NO. (SCJ
MOTORS: OVER NOT OVER H.P. DIS -RICT�jNO. I GROUP ZONE PROCESSED BY
O 1 1.00 'c O d 2 LIi
1 s 1.50 INSPECTION RECORD
8 8 2.00 ...) w /f," 6 7� / G1�71/�# 7 oZ� O
8 is 2.50 U
gm
1S 50 5.00 �0
50 too 5.00 W
d
SIGNS: NO.TRANS. h
NO.LAMPS Z
SERVICE 0.600V•NOT OVER 200A 1 11.00
SERVICE 0.600V•OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 dG
r
TOTAL.FEE $ 7�
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO.COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING _
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ,
LICENSED AS.REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABCAVE ,
DESCRIBED RESIDENTIA PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
VALIDAT ARTHUR C. VEIT
CK M CASH SUPERVISING ELECTRICAL ENGINEER