HomeMy Public PortalAbout4816 BALDWIN AVE_Electrical__ 76A663-CES06 8-62 APPLICATION FOR ELECTRICAL PERMIT
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
RECEFT TOTALNO EACH FEE
OUTLETS FIRST 20 $20 $ OWNER c
LIGHT MAIL
SWITCH ADD L 10 ADDRESS
OVER 20
LIGHTING TOTAL FIRST 201 20 CITY TEL O `
FIXTURES ADD L 10 ELECTRICIAN
1-� OVR 20
RANGES CLO DRYERS WTR HTRS too ADDRE S 1�
GARB DISP STA COOK CITY TEL NO -c/D
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (yi H P MAX ) 50 LICENSE NO
MOTORS OVER NOT OVER H P DIST�RJ CT NO GROUP ZONE PR SSED Y
O 1 100 5 U G L_
3 150 INSPECTION RECORD
3 8 200
8 15 250
15 50 300
IL
50 100 500 0
SIGNS NO TRANS
NO LAMPS 0
O
SERVICE O 600V NOT OVER 200A too V
W
D_
SERVICE O 600V OVER 200 A 200 H
SERVICE OVER 600V Soo ?
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE $ Q
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8 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
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED REBID PROPERT POWER
81GNATURE UTILITY CO NOTIFIED L3' 44--
OF PERMITTEE I
FINAL `7 ZZ
VALIDATI ARTHUR C VEIT
CK MID CASH SUPERVISING ELECTRICAL ENGINEER
LA';0 5 5 9 o JLL18 2 D 4} 50-
1