HomeMy Public PortalAbout9585 BLACKLEY ST_Electrical__ 76A663-CE806 8/63 APPLICATION FOR ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERFNECAREST.
NG
BUILDING AND SAFETY DIVISION gSS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING TY
FOR APPLICANT TO FILL IN ST -
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 S OWNER
LIGHT _ MAIL /r '
ADD'L f0 ADDRESS
SWITCH OVER 20
TOTAL CITY TEL. NO
LIGHTING FIRST 20I .20
FIXTURES J DADRD20 .10 ELECTRICAN
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK _
-CITY TEL. NO
DISHWASH. / AUTO.-WASH. L' STATE
SPACE HTRS, STA.APP.0A N.P.MAX. �p .50 '^ LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTMCT GRO N P D Y
O 1 1.00
1 3 1.50 INSPECTION RECORD
3 S 2.00 at
d
8 15 2.50 0
15 50. 3.00 d
50 100 5.00 (1�
17J
SIGNS: NO.TRANS h
NO.LAMPS
_z
SERVICE 0.600V-NOT OVER 200A 1.00
SERVICE 0-600V-OvER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 -�
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE Q
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE,19 CORRECT AND AGREE TO COMPLY CONDUIT I i
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED A9 REQUIRED BY L09 ANGELE COUNT AN ATE OF FIXTURES
CALIFORNIA OR THAT 1 THE LEGA OWNE OF ABOVE / ✓
DESCRIBED RESIDENTIAL O Y. POWER ,
SIGNATURE UTILITY CO.NOTIFIED 5��`.9 a ' 1
OF PERMITTEE " ' e
/�
FINAL /V-✓
LIDATION ARTHUR C. VEIT
UKMO CASH SUPERVISING ELECTRICAL ENGINEER
l��l,0 5 4 1 9 OCT 3 0 2 D 18.50-,