HomeMy Public PortalAbout9318 BROADWAY_Electrical__ 7GA363-CEBOB ID-32 APPLICATION FOR ELECTRV /Ad PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER euILD1Nc
BUILDING AND SAFETY DIVISION ADDRE59
JOHN A. LAMBIE. COUNTY ENGINEER
_ WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN cRoss sT.
RECEPT,V 93 TOTAL NO, EACH FEE
III OUTLETS FIRST 20 ffi 20 9 OWNER
LIGHT o2+ 1 MAIL .
swrtw. ADD'L ADDRESS
OVER 2G .1D
TOTAL CITY TEL. NO.
LIGHTING FIRST 20 .20 ,
FIXTURES /� OVADD•L2G 10 ELECTRICIAN
ER
RANGES CLO.DRYERS WTR.HT S. 1.00 ADDRESS
GARB.DISF. STA.COOK }
g/(i)1 CITY TEL. NO.
DISHWASH. AUTO S� STATE -
SPACE HTRS. STA.AFIP 1 .Yf.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT O. G> UP ONE PROCES ED BY
O 1 1.00
1 3 1.50 - INSPECTION RECORD
3 6 2.00
8 — .15 2.50 0
15 50 3.00 - a.
SO 100 5.00 O
SIGNS: NO.TRANS. a
NO.LAMPS
Z
SERVICE O.SOOV.NOT OVER 2OOA 1.00 (�0
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 �D
SUPPLEMENTARY PERMIT ISSUING FEE 11.001
TOTAL FEE 6
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPERO 'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I -
ELECTRICAL WIRING. WIRING-
I HEREBY CERTIFY THAT I AM PROPERLY REGISTEREO ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM, E L AL OWNER OF THE ABOVE -
DESCRIBED RESIDENTIAL PROP RTY. POWER-
SIGNATURE UTILITY CO.NOTIFIEDn / n n
OF PERMITT 9—,
FINAL
VALIDATION� ARTHUR C. VEIT
CK MO(CA9
SUPERVISING ELECTRICAL ENGINEER
-
L�CD 1 1 5 612; OCT 8. 2' D 1 3,5 p— a