HomeMy Public PortalAbout9426 BROADWAY_Electrical__ 76A863CESOO-7 66 APPLICATION FOR ELECTRIC PERMIT
BUILDING AND SAFETY DMSION
Deportment of County Engineer BUILDING _
44
County of Los Angeles ADDRESS ,
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT O. GRIFFIN. SUPT of BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES
NUMBER OWNER
LIGHT OUTLETS' MAIL
ADDRESS
RECEPTACLES
WALL SWITCHES FEE CITY EL. NO
—5 .TOTAL OUTLETS ® 5¢ S .ELECTRICIAN c
ELEC. RANGES 25 ADDRESS S m /��
ELEC. HEATERS 25 CITY TEL. NI.A-r S V J> .--.
_ KW EA STATE
FIXTURES 5 LICENSE NO.
MOTORS DISTRICT NO. IGROU,$ E READY rOR INSPECTION
rvuMeER HORSEPOWER FEE OqA f/T /i-
NEW MVO. HP OVER INC. EACH
V2=LESS S .25. j INSPECTION RECORD
2 .50
5 15 1.50
15 50 2.50
so 200 5.00 aX^ �1 y1�
Q.[.1•
MISC.
NO. SIGNS NO. TRANS.
NO. SIGNS NO. LAMPS -
i FOR EACH PERMIT:
WIRING PERMIT 51.00 r
FIXTURE PERMIT 51.00 d
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE g DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPKICATUON CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY nn 1111-
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. FIXTURES
I HEREBY CERTIFY THAT I AM PROPER EGISTERED AND/OR
U
NSED ASREOUIqED BY LOS ANGELE CO NTY ANO STATE OFpOyVERIFORNIA OR THAT AM THELE NER OF HF�ABOVECRIBED REBID AL RTY. UTILITY CO.NOTIFIEDNATUREF PERMITTEE FINAL V
JOHN A. LAMBIE, j{'pIOI1 ARTHUR C. VEIT.
COUNTY ENGINEER- crc o CASH SUPERVISING ELECTRICAL ENGINEER,
( (Q7505� APR 26 2 4.45
78AOGS.CE80E. 10.56 APPLICATION FOR ELECTRIC PERMIT
BUILDING AND SAFETY DIVISION I I I-
Department ofCounty Engineer BUILDING' GNU /7yy
County of Los Angeles - ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER ��—
CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY :!f-s>!,641
` NEAREST `
FOR APPLICANT TO FILL IN CROSS ST CCC..
PERM FEES
OWNER
LIGHTS RECEPTACLES SWITCHES
NUMBER ITEM EACH MAIL
FEE
ADDRESS
TOTAL OUTLETS $ .10 S
ELEC. RAN6E5. WATER HEATERS. �f CITY TEL. N0.E.�C / / GL�•V
CLOTHES DRYERS .50ELECT ICIAN
e� ELEC. SPACE HEATERS: STAT'Y. 000K-
INO. UNITS, GARSAOE DISPOSERS. // ` ADDRESS
AUTO WASHERS. DISHWASHER .25 /LJ
LIGHTING FIXTURES .10 'CITY k. NO.
MOTORS STATE
LICENSE NO.
HORSEPOWER -
H.P. I OVER INC. DISTRI T NO. GROUP ZON READY FOR INSPECTION
%y 8 LESS .25
h - 2 .50 INSPECTION RECORD
2 5 1.00 — —
5 15 1.50
1
15 50 2.50
50 200 5.00
MISC.
SIGNS I NO.rPANS
NO. LAMPS
SERVICE 0-000V 1.00
SERVICE OVER BOOV 5.00 -
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .501
) APPROVALS
TOTAL FEE S / DATE INSPECTORS SIGNATURE
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING2p15`J
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS 'REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I >THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDEN
SIGNATURE UTILITY CO. NOTIFIED y
OF PERMITTE FINAL
JOHN A. LAMBIE. VgLIDAVPX, ARTHUR C.VEI
COUNTY ENGINEER OK Mo cAsSUPERVIBIN6.ELECTRICAL ENGINEER
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