HomeMy Public PortalAbout9467 BLACKLEY ST_Electrical__ 76A663-CESOB-9-57 APPLICATION FOR ELECTRIC PERMIT
1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /+
BUILDING AND SAFETY DIVISION ADDRESS �• G. L.
JOHN A LAMBICOUNTY ENGINEER
CASSATT D GRIFFIN, SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES
1 T E M NUMBS EACH FEE OWNER N�
OUTLET / $ $ /) MAIL
LIGHTS12 SW 10 V ADDRESS
LIGHTING FIXTURES 10 O- CITY TEL NO
EL-EC RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS 50 ADDRESS e✓ tiJ Cf/'} /' O 5 ;
ELEC SPACE HTRS DISHWASHERS �I ✓
CITY TEL NO
GARBAGE DISPOSERS AUTO-
WASHERS
UTO- �� /y
WASHERS STA COOKING UNITS 25 STATE
LICENSE NO
MOTORS OVER INC H P
DIS RIOT NO GR ZON READY FOR INSPECTION
O — '/z 2 5
1/z — 2 50
INSPECTION RECORD
2 — 5 100
5 — 15 150 1 /®
f r
15 — 50 250 i -
50— 200 5 00 .--
SIGNS NO TRANS
NO LAMPS
SERVICE 0-600V 100
:F
SERVICE OVER 600V Soo
MISC
WIRING PERMIT 100 O
FIXTURE PERMIT 100 G1
SUPPLEMENTARY PERMIT 50
TOTAL FEE $ O APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR SSIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING I WIRING / C
1 HEREBY CERTIFY THAT I AM PRO RE IST R AND/OR
LICENSED AS REQUIRED BY LOS A UNTY N ATE OF FIXTURES 'S
CALIFORNIA OR THAT I AM T E F E ABOVE POWER
DESCRIBED RESIDENTIAL PR 4
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE
FINAL
VALIDATION ARTHUR C VEIT, OIF
CK Mo CASH SUPERVISING ELECTRICAL ENG ER
7 2A 6.00 M