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HomeMy Public PortalAbout9626 1/2 BROADWAY_Electrical__ TBAGRS.CEOO._S-BT APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING / BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,$UP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CROSS ST.NEAREST i PERM FEES 77' OWNER LIGHTS RECEPTACLE. SWITCHES NUMBUSH ITEM EACH FEE MAIL of TOTAL OUTLETS s .10 S ADDRESS ELEC. RANGES, WATER HEATERS, CITY TEL. NO. CLOTHES DRYERS .so ELECTRICIAN ELEC, SPACE HEATERS, STAT Y, COOK- ING UNITS. GARBAGE D SPL OEER_S, ADDRESS i AUTO WASHERS, DISHWR H .2S LIGHTING FIXTURES .10 CIN TEL.NO�vG3 CJ STATE MOTORS LICENSE NO. / L HORSEPOWER RI H.P: OVER INC. ISTRICT NO. GRO P ZON READY FOR INSPECTION W&LESS .25 2 .50 INSPECTION RECORD 2 5 1.00 5 15 1.50 J— is 50 2.50 50 200 5.00 MISC. SIGNSI NO.TRANS NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 APPROVALS TOTALFEE S I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP LIGATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT n WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING. 1 HEREBY CERTIFY THA I AM PROPERLY IS E ND/OR FIXTURES LICENSED AS REOUIREO LOS ANGELE U D S ATE OF CALIFORNIA OR THAT 1 M THE LEG) F 1: ABOVE POWER AA C r-r DESCRIBED REST TIA ROPERTY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL /` J� JOHNA.LAM DATION ARTHURC.VEIT, COUNTY ENGIN R O MO CASH SUPERVISING ELECTRICAL ENGINEER _ �O500.5� DED11 2 8.30 M 7BA089-CE808-8-57 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DMSION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY _ FOR APPLICANT TO FILL IN CROSS ST. PERNUT FEES LIGHTS RECEPTACLES SWITCHES OWNER NUMBERITEM EACH FEE MAIL ADDRESS TOTAL OUTLETS $ .10 $ ELEC. RANGES, WATER HEATERS, CITY TEL.NO. CLOTHES DPYERS .50 INC- ELEC. SPACE HEATERS. STAT-Y. COOK- ELECTRICIAN T,( :�I INC UNITS, GARBAGE DISPOSERS, ADDRESS Mission ion Dr AUTO WASHERS, DISHWASHER .2$ LIGHTING FIXTURES .10 CITY TEL. NO. —7 3 MOTORS STATE LICENSE NO. Z HORSEPOWER DISTRICTNO. GRO P ZONEREADYFOR INSPECTION H.P; OVER INC. 'A 0 LESS .2$ 4-1 2 .50 INSPECTION RECORD z 5 1.00 5 15 1.50 1 T`E- A J 15 — 50 2.50 50 200 5.00 - y �\ L L Misc. NO.TRANS SIGNS NO.LAMPS •-T. y� \ SERVICE O-BOOV 1.00 _ ✓ SERVICE OVER BOOV 5.00 WIRING PERMIT1.00 �K�� �AJ FIXTURE PERMIT 1.0o y r SUPPLEMENTARY PERMIT .50 APPROVALS /1 TOTAL FEE Is aiQ DATE INSPECTOR'S SIGNATURE 1 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 / I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT AM T E LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDER A P TY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL JOHN A. LAM BI VALIDATION ARTHUR C.VEIT. COUNTY ENGINE CK No CASH SUPERVISING ELECTRICAL ENGINEER 39281; OCT31 2 220 n