HomeMy Public PortalAbout9019 RANCHO REAL RD_Electrical_6/22/1962_outlets and lighting fixtures 6AE63'CE9D6;C:S, APPLICATION FOR E.LECTRIQ, ►L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
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BUILDING AND SAFETY DIVISION ADDRESS �E�}t
JOHN A. LAMBIE, COUNTY ENGINEER C/T Y
WILLIAM A.JENSEN,SUPT Op BUILDING LOCALITY T�ltitPlB
FOR APPLICANT TO FILL IN CRROSS ST.• 2 os R-ai kF*D bA.v o
I T E M NO. I EACH FEE
OUTLETS: (FIRST 20) ($ $ OWNER ' C�O/ZG E C. GiO--P
LIGHTS RECEPT. SW. I .20 O MAIL
•OUTLETS: (ADD'LUNITS) ADDRESS O/Q l?.A uc/fO R AL
LIGHTS RECEIPT. SIN. .10
LIGHTING FIXTURES. (FIRST 20) .20 O CITY !e i°),19" C tl Y TEL.NO.
LIGHTING FIXTURES: (ADDITIONAL) f0 ELECTRICIAN. &I w N6R
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Vy H.P.MAX.) .50 'LICENSE NO.
MOTORS: OVER NOT OVER. H.P. DISTRIOT NO. OU E PR CE BY
t O 1 f 1.00
I 5 1.50 INSPECTION RECORD
5 S 2.00 a0
8 Is 2.50 V
m
15 50 5.00 0
so. foo 5.00
d
SIGNS: NO.TRANS. h
NO.LAMPS Z
SERVICE O-SOOV-NOT OVER 200A 1.00
SERVICE O-SOOV-OVER 200 A. 2.00
SERVICE OVER SOOV 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTAOY PERMIT ISSUING FEE f,00
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI N APPROVALS DryATE IN ECTOR'S S, .TURB
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT . .•r`�'n
WITH ALL COUNTY ORDINANCES AND STATE_ LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF .FIXTURES
CALIFORNIA OR THAT 1 A THE LEGAL OW R O E ABOVE
DESCRIBED RESIDENTIAL ERrY. POWER '
SIGNATURE UTILITY CO.NOTIFIED if
OF PERMITTEE
FINAL � / , I`
LIDATION A THUR C. VEIT
CK MC CASH SUPERVISING ELECTRICAL:ENGINEER
EACn'0 .6 3 2.Q! JW22 2 0 3.40N V