HomeMy Public PortalAbout9126 BROADWAY_Electrical__ 76A663-CE606 S-62 APPLICATION F®R` EdE�R9ICAd PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS r 6Lf
JOHN A. LAMBIE, COUNTY ENGINEER 7C
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
NEARESTf
FOR APPLICANT TO FILL IN CROSS ST. Lo iP,
RECEPT. 7 TOTAL NO. EACH FEE
OUTLETS FIRST 20 $ 20 S OWNER '
LIGNT y nU MAIL
SWITCH. U �J ADD'L 1O 'ADDRESS )
OVER 20
LIGHTING
TOTAL FIR ST 20 .20 G Do CITY TEL.NO.
�
FIXTURES I
10 ELECTRICIAN D
OVERR 20
2
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 10 9)2 !N4261 kN( ,
GARB.DISP. STA.COOK CITY ' TEL. NO. 7i
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.('A H.P.MAX.) .50 LICENSE NO. V
MOTORS: OVER NOT OVER H.P. DIST ICT GR !la TE P ESSED BY
0 1 1.00 S U
1 3 1.50 INSPECTION RECORD
3 8 2.00 / 2OZ&
B 15 2.50
15 50 3.00 ,O-LC'•.T /%•"%'/S `v Gd� 1
50 100 5.00
SIGNS: NO.TRANS.
v �ri(A V-!L.•I/'� (��'~"� '-
NO. RAMS.
hMPs
SERVICE 0-60OV-NOT OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2.00 / Vf
Z
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 6 6 fo
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE / INSPECTOR-8SIG/NAATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT `/.//
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING y 'W
ELECTRICAL WIRING. WIRING 7�
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES '1
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE ��� O
DESCRIBED RESIDENTIAL PROPERTY POWER 11 1
81GNATU RE UTILITYCO.NOTIFIED 1 AAI 11LJ'
OF PERMITTEE - • � , 1 ` 1. 1 / yt\1
FINAL A
VALIDATION ARTHUR"C. VEIT/
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
`. 0PL0,2 4 9 7- MAR 26. 2 D 6.80- v
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