HomeMy Public PortalAbout5717 PRIMROSE AVE_Electrical_5/11/1962_AMP PANEL sAaBe:cE6oB,ce, APPLICATION F ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING -/
BUILDING AND SAFETY DIVISION ADDRESS //
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
I T E M NO. I EACH FEE
OUTLETS: (FIRai 20) 111
OUTLETS:
$ OWNER
RE8W. MAIL
OUTLETS: (ADD'L UN d-71
UNITE) .10 ADDRESS J
LIGHTS RECEPT. SW.
LIGHTING FIXTURES: (FIRST 20) .20 CITY ale4TEL NO.
LIGHTING FIXTURES: (ADDITIONAL) 10 ELECTRIC N
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 1
GARB.DISP. STA.COOK. CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE �j
SPACE HTRS. STA.APP.(.ya H.P.MAX.) .50 allm LICENSE NO. O �--!-.)
MOTORS: OVER NOT OVER H:P. DIST ICT NO. I GRQLIP ZONE P ESSED BY
O 1 11.00
1 s 1.50 INSPECTION REC RD ,
s S 2.00 O
�.-���
s Is 2.50 ;U ad
1s so 3.00. _ L 0
s0 100 5.00
SIGN8t NO.TRANS. N
NO.LAMPS I T--.
� .
SERVICE 0.600V-NOT OVER 200A 1.00 --
SERVICE 0-600V-OVER 200 A. 2.00 �~
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 mO
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS ATE 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
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR /J �Y
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES /f
CALIFORNIA OR THAT 1 M THE LEGAL OWNER OF THE ABOVE t ^
DESCRIBED RESIDENTI ROPERTY. .POWER / /
SIGNATURE �. (%JG� UTILITY CO.NOTIFIED f
OF PERMITTEE FINAL
VALIDATI ART14UF R C. EIT (/,1
CK MO CASH SuPERLIBING LECTIfICAL ENGINEER
2 5 0 5 % MAY 11 2 0 3.0 0 M-