HomeMy Public PortalAbout9320 BROADWAY_Electrical__ ]8AGa8-CE806-8-5] APPLICATION FOR ELECTRIC �E:RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS vim+✓ 1
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
11
NEAREST
FOR APPLICANT TO FILL IN caoss sr.
PERMIT FEES
LIGHTS
OWNER
pECEPTACLE9 SWITCHES
NUMBER ITEM EACH FEE MAIL
n
TOTAL OUTLETS f .f0 ADDRESS$ O4�
ELEC, ZULQ WATER HEATERS, CITY TEL.NO.
�+. aoixes .50 S� ELECTRICIAN / IE-
avJ ELEL Sp�yFA�ERS. STAT Y. COOK. �f !�
�l ING uxlis e1xT�Te n 5 5 �5 pDDR E55 /� �ry �O
�J AUTO WASHERS, D15NWASNEA .25 q ♦` ./�
LIGHTING FIXTURES .f0
/� CITY L ,✓ TEL.NO. /[I tAS
MOTORS STATE ,r j�
LICENSE NO. e_ /o
HORSEPOWER
H.P: OVER INC. DIS NU. I GROUP ZONE READY FOR INSPECTION
Ih a LE59
v= — z .50 INSPECTION RECORD
2 5 1.00
S 15 1.50
15 50 2.50
50 200 5.00
MISC.
SIGNSNO.TRANS
'NO.LAMPS
SERVICE 0-600V 1.00 QL'
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 O
SUPPLEMENTARY PERM IT .50 - APPROVALS
TOTALFEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING IN-7 / S
1 HEREBY CERTIFY THAT AM PROPERLY R STFIXTURES .o
LICENSED AS REQUIRED B OS ANGELES T S /OF
CALIFORNIA OR THAT 1 THE LEGAL N T DOVE POWER
DESCRIBED RESIDENTIAL PERTY.('
SIGNATURE UTILITY CO.NOTIFIED-`-')OF PERMITT FINAL
JOHN A. LAM $&LMATION ARTHUR C.VETT,
COUNTY ENGI 'OIL/� MO CA SUPERVISING ELECTRICAL ENGINEER
oasas� DEC 5 z 15 .65
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