HomeMy Public PortalAbout9574 BLACKLEY ST_Electrical__ 76A663-CES06 10.62 PPLICATI FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGEL
DEPARTMENT OF COUNTY EN INEEyytt��������pg1�'�' BUILDING
BUILDING AND SAFETY DIVISION 7 ADDRESS
JOHN A. LAMBIE, COUNTY ENGINE % y
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY -
NEAREST Ire/ AaAi�l
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER /
LIGHT MAIL
ADD'L L/p ,f0 ADDRESS
SWITCH.
OVER 2O CVJ
TOTAL CITY TEL. NO.
LIGHTING FIRST 20 .20
FIXTURES ADWL ELECTRICIAN
OVER 20 ,10
RANGES CLO.DRYERS jWTR.HTRS. 1.00 ADDRESS �� 1
GARB.DISP. CITY TEL.NO.
DISH WASH. AUTO.-WAS . LICENSTATE
' SE NO.
SPACE HTRS STA.APP. ¢ A1) ,SO
MOTORS: OVER NOT OVER H.P. DISTRICT G E P E BY
O 1 1.00
1 3 1.50 INSPECTION R CORD
3 8 2.00 d
8 15 - 2.50 _
U
15 503.00
50 100+ 5.00 O
SIGNS: NO.TRANS. _ tttiiVLJJ
d
NO.LAMPS �
SERVICE O-GOOV-NOT OVER 200A 1.00 '� /•
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 -
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLIC TION 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 _ /�P
ELECTRICAL WIRING. WIRING I�II�f1/�V•Ff' /'7h°%'"'f�,��•?.r/
I HEREBY CERTIFY THAT 1 AM PROPERL REGISTERED AND/OR VIVA-
P
LICENSED AS REQUIRED BY LOS ANGELES ORE
D STAT OF FIXTURES •� L7A"U � ,!.d-�•{i
CALIFORNIA OR THAT 1 M THE LEGAL WNER T ROVE f '/ V d' I
DESCRIBED RESIDENTIAL O Y. POWER
SIGNATURE If UTILITY CO.NOTIFIED
s �
OF PERMITTEE
FINAL I 7/17 /91/or
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LIDATION ARTHOR C. VETT' My
CK MO CASH SUPERVISING ELECTRICAL ENGINEER-
t1�o 5 6 5 81 NOV 6 2 D 1 9.5 0-
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