HomeMy Public PortalAbout4920 BALDWIN AVE_Electrical__ -rE PL E CITV
I6A666 C9806450 APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
v
WILLIAM A JENSEN SUP TOF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
PERMIT FEES OWNER`
1 TEM INUMBER EACH FEE MAIL
OUTLETS 1 S 1O S )�7 ADDRESS
I' LIGHTS RECEPT Q SW T"
p/ CITY TEL.NO
S LIGHTING FIXTURES // 10 / �U
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s ELEC SPACE HTRS DISHWASHERS CITY San Gabrjej TEL NO -O
, GARBAGE DISP�gFpQ� AQTblit STATE
d( LICENSE NO ,
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r WASHERSTA COOKING UNITS 2S
MOTORS OVER INC HP DISTRJCT�i O G OUP NE P ESSED Y
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,i, — 2 80 INSPECTION RECORD
2 — S 100 O
S — 18 ISO U
is — so 250
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SO —RA N 200 Soo FF
NO TMSIGNS NO WNd
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SERVICE O 600V too v
SERVICE OVER 600V Soo
MISC
WIRING PERMIT 100 b
FIXTURE PERMIT 100 fl
SUPPLEMENTARY PERMIT SO
TOTAL FEE cs-
1 HEREBY ACKNOWLEDGE THAT I 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 l,
ELECTRICAL WIRING WIRING �7 _�7g _�-•� '`9
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR "J
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR TH 1 AM THE LEGAL OWNER OF THE ABOYE POWER ` r / ✓ ��
DESCRIBED RESIDE L PROPERTY �J
SIGNATURE ` UTILITY CO
OF PERMITTE f
FINA
LIDATION ARTHUR C VETT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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