HomeMy Public PortalAbout9412 BROADWAY_Electrical__ 'BASES-CESOS 10-60 APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER 'BUILDING --!f
BUILDING AND SAFETY. DIVISION .ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER •—�
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY' js�„�(/J
NEAREST — -
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT.FEES OWNER
I T E M NUMBER EACH FEE MAIL
OUTLETS: $ $. ADDRESS
_ -
LIGHTS RECEPT. SW,. I .lO D
CITY TEL. NO.
LIGHTING FIXTURES " IO
ELEC. RANGES CLO. DRYERS ELECTRICIAN /
WATER HEATERS .50 ADDREESSS.
ELEC.SPACE HTRS. DISHWASHERS
CITY + ei;t* TEL NO. d/
GARBAGE D SPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS Ki ,25D LICENSE NO. D&VflfP
MOTORS: OVER INC. H.P. - DIST CT NO. GRO P Z ESSED Y
O
1/.- 2 56 INSPECTION RE RD
a
2— 5 1.00 I
S— 1sIso
15— 50 2.50 O
r
50— 200 8.00 W
NO TRANS. a
bIGNS: N
NO.LAMPS ,Z
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00 '
MISC: '
WIRING PERMIT 1.00 _
FIXTUREPERMIT L00
SUPPLEMENTARY PERMIT .50 O
TOTAL FEE SQ '
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS zAPPLICA ION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
ALL COUNTY ORDINANCE5 AND 'STATE LAWS 'REGULATING
ELECTRICAL WIRING. WIRING aIRING ax
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIO NT L PROP T POWER
SIGNATURE UTILITY CO.NOTIFIED.
OF,PERMITTE FINAL ,
VALIDD�rT'I � ARTHUR C. VETT
CK 'No cCAsAb /_ SUPERVISING ELECTRICAL ENGINEER.
Uf�o o 9 9 1 ;z AUG 2 2 D 1 .1 0 m