HomeMy Public PortalAbout8914 BROADWAY_Electrical__ 76A663-CESOG 10-58 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING/t% L
BUILDING AND SAFETY DIVISION ADDRESS Tr
JOHN A. L.AMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERNIIT FEES CROSS ST. zzlf- Gcr
4,/.4/C Z/
t T E M NUMBER EACH FEE OWNER (/ G lI S
OUTLETS: ADDRESS
$ $ MAIL ~
1
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES f0 CITY JC TEL.NO. 6^fa 3S
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTR$. DISHWASHERS CITY TEL. NO.
GARBAGE DISPOSERS AUTO.- STATE
WASHERS - STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H . DISTRICTNO. (GR UPI ZONE I PROCESSED BY
0— 1/2 .25 c-
1/2-
1/2— 2 .50 INSPECTION RECORD
2— s 1.00
5— 15 1.50 q
°
15— 50 2.50
50-200 5.00 -
SIGNS: NO TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE (VER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ �o
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. �A
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING 1 /v/
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOV
DESCRIBED RESIDENT P OPERTY. POWER e1n q�
SIGNATURE -UTILITY CO.NOTIFIED
OF PERMITTE
FINAL
OFel
CK MO � ARTHUR C.VETT.
CK MQ CASH SUPERVISING ELECTRICAL ENGINEER
2. 4 42 MAR 4 2 A 2.00