HomeMy Public PortalAbout9023 BROADWAY_Electrical__ '6A663.CESOB 10.61 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER - BUILDING
BUILDING AND SAFETY DIVISION ADDRESS '570.2
JOHN A. A. JEN E. COUNTY ENGINEER 11
NEAREST T`e�Pkg
WILLIAM A. MBIEN, OSUP T of BUILDING LOCALITY _ _
FOR APPLICANT TO FILL IN CROSS ST.
Fla
I T E M NO. EACH FEE
OUTLET (FIRST 20) )) $.2 $ OWNER
LIGHT9 ./ RECEPT. �-3 5W, K MAIL /tI /1
OUTLETS: (ADD'L UNITS) 10 ADDRESS fy-iI/'L-i/�_
LIGHTS RECEPT. SW.
LIGHTING FIXTURES: (FIRST 20) ,2p CITYTEL. NO.
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN
RANGES CLO.DRYERS WTR.NTRS. , 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY_ TEL. NO.
DISHWASH. AUTO.-WASH. STATE
SPACE NTRS. STA.APP.(yv H.P.MA%.I .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. D.IcSTRIC'[ NO., GR Z P EDS
O 1 1.00 _'•d_._ /LIC�jY .
I a 1.50 / INSIDE TION R CO/R Dj
S E 2 /
.00 /w / n
6 15 2.60 -� '� S -�/ O
2iaxi , v 1dl / ,
IS 50 3.00 I / wOG
50 TDO 5.00
NO.TRANS. t // / d
SIGNS: 41
NO.uMPS ' Z
SERVICE 0-60OV-NOT OVER 200A LOo
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 006
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE S
IHEREBY 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR !
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES I
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED REBIOENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED I ,I /r
OF PERMITTEE - -
FINAL l
VALIDATION. ARTHUR C. VEITI
CK NO CASH '
l(�/ SUPERVISING ELECTRICAL ENGINEER
lLAj� 7 '3 2 0 AL17 . ''2 A 4.8'x~ v