HomeMy Public PortalAbout9018 BROADWAY_Electrical__ ibAb63-CE806 B-62 APPLICATI® . F®R ELECTR i PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 940 / FI W/3 C•. /3v d,CG--
JOHN A. LAMBIE, COUNTY ENGINEER q
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY TL<Tf/'�!. C• /Jdr
NEAREST R.�
FMPS
FOR APPLICANT TO FILL IN CROSS ST. FA IQ 4„ I TOTAL NO. EACH FE2 JI{ OUTLETS FIRST 20 Zv $ $ OWNER r' .aL/ ADD'L �/ ADDRESS
, rJ. L OVER 20 �� .10 OTOTAL �O 20 o G CITY TEL. NO.
ING FIRST 20 RES l .�,3 Dv De 20 3 10 30 ELECTRICIANES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS SQSISP. STA.COOK
SH. AUTO..WASH. CITY /Cv/%/. va TEL. NO.3 6'- �-✓6—
STATE
TRS. ✓STA.APP.(yH.P.MAX.) 6 ,50 3 -e . LICENSE NO. (/2/ yS: OVER • NOT OVER H.P. DISTRI/C�T //NC�O. GR UP NE” P C ISO t 1.00 \! p t 3 1.50 /INSPECTIONRECORD32.00 7/�%/6 3 6' .%I'r.;/ .`. [/j,)6 15 2.50IS 50 3.0050 — 100 5.00 / .:�b.- O
NO.TRANS i �y� Be
NO.LAMPS / r �(/'// O
1-
^4RVICEO.60OV-NOT OVER 200A Il 1.00 W
VICE 0.60OV.OVER 200A. 2.00
'QERVICE OVER 600V 5.00
MISM
i
PER 2.00 </L 6d '
SUPMIT ISSUING FEE 1.00
FEE $ :L/ J d
I MEflEBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE'
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES A //
CALIFORNIA OR
T.
I AM THE LEGAL O NEO OF THE ABOVE / I
DESCRIBED,RESIDENTIAL PROPERTY. POWERSIGNATURE / ///
OF PERMITTEE - UTILITY CO.NOTIFIED . . 10 /1yF/Y" V
_ - FINAL
-;-VALIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER,
I