HomeMy Public PortalAbout9434 BROADWAY_Electrical__ 76AD63-CESOS_6-57 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES -
DEPARTMENT OF COUNTY ENGINEER r BUILDING
BUILDING AND SAFETY DIVISION - ADDRESS FIV 13!f/
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PEPMT FEES
OWNER p-y..
LIGHTS RECEPTACLES A5_ SWITCHES .
' NUMBER 1 T E M EACH FEE MAIL
`^ 7C gODRE55
TOTAL OUTLETS $ .10 6 y
ELEC. RANGES, WATER HEATERS, CITY TEL.NO.
CLOTHES DRYERS .50
OL IN Rr `TS. NEST R`. STAT Y. COOK-S,
_ ELECTRICIAN
AU WAS GARBAGE DIHER ERS, Q ADDRESS A/ ZI
AUTO WASHERS, DISHWASHER .25
LIGHTING FIXTURES ,10 CITY TEL.NO.
MOTORS STATE b
LICENSE NO. 7 C.
HORSEPOWER fD15TRICT' O. GROUP ON READY FOR INSPECTION
H.P: OVER INC.yi a LE99 . .2$
vz - z so INSPECTION RECORD
2 5 1.00
B 15 1.50
15 SO 2.50
50 200 5.00
M194
SIGNS NO.TRANS
NO.LAMPS
SERVICE O-SOOV 1.00
SERVICE OVER BOOV 5.00
WIRING PERMIT 1.00 '
FIXTURE PERM IT 1.00 QQ
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTAL FEE S O DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING '
ELECTRICAL WIRING. WIRING N' 7
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES 7
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER / 1
DESCRIBED RESIDEN L PROPE Y.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE_ FINAL
JOHN A.LAMBIE, }EALIDATION ARTHUR C.VEIT.
COUNTY ENGINEER i opI MO IO SUPERVISING ELECTRICAL ENGINEER
i O:544m,MAY 5 2 A 8.60 :