HomeMy Public PortalAbout9543 BLACKLEY ST_Electrical__ 76A663-CF&06 B-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �c
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY /
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FE4ADDRIESS
OUTLETS FIRST 20 $.20 $ WNELR
LIGHT J AIL SCh ADD'L f0 «C� wSWITCH. �.-- OVER 20 LIGHTING' TOTAL FIRST 20 ,20 ITYra TEL..NO.
FIXTURES } I ADD'L 10 ELECTRICIAN �-
_ OVFER 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 1 p C' L ('-y' J.-
GARB.
iGARB.DISP. STA.COOKY',_ (I
CITY _ _ TEL. NO. z
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(yi H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTBICT NO. GRQUP ZO E P F SED BY
O 1 1.00 3�
I 3 1.50 INSPECTION RECORD
3 8 2.00
8 15 2.50 -------
15 50 3.00
IL
50 100 5.00 0
SIGNS:
NO.TRANS
LAMPS O
SERVICE 0.60OV-NOT OVER 200A 1.00 u
D_
SERVICE 0.60OV-OVER 200 A. 2.00 N
Z
SERVICE OVER 600V 5.00 —
misc.
PERMIT ISSUING FEE 2.00
SUPPLEMENTAgY PERMIT ISSUING FEE 1.00
TOTAL FEE
LBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
TE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY CONDUIT
LL COUNTY ORDINANCES AND STATE LAWS REGULATING
CAL WIRING. WIRINGEBY CERTIFY THAT I AMPROPERLY REGISTERED AND/ORD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
NIA OR THAT-I AM THE LEGAL OWNER OF THEABOVE
ED RESIDENTIAL PROPERTY. POWER
URE UTILITY CO.NOTIFIED
MITTEES
FINAL
/NIDATION ARTHUR C. VETT
f/ CK� MO CASH SUPERVISING ELECTRICAL ENGINEER
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