HomeMy Public PortalAbout9635 BROADWAY_Electrical__ APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS /(LJd� ��.C�d/diJ e7J�4•�I
JOHN A. LAMBIE, COUNTY ENGINEER _
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY (pr
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
PERMIT FEES
1 T E M NUMBER EACH FEE OWNER (✓J.C,CF4-E9�
OUTLET^a:
LIGHTS ' RECEPT+ W. ..� 1O ADp RE55
LIGHTING FIXTURES / 10 CITY n TEL.NO.
ELEC.RANGES CLO.DRYERS
WATER HEATERS .50
ELEC.SPACE HTR5. DISHWASHERS CITY TEL.
GAR DISPOSERS AUTO.-
STATE 7-t-7
WASHERS—STA.COOKING UNITS .25 _ LICENSE NO. C�
MOTORS: OVER INC. H.P. DISTRICTNO. IGROUP ZONE I PRO SSED By
0— y 2s
v°— 2 .50 INSPECTION -FltC0lfDl
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS. _
NO.LAMPS
SERVICE O-SOOV 1.00
SERVICE OVER SOOV 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE g C) Q
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY I/ � !✓JJJ
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT _3J- Q
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED A8 REGU[RED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR Tf4T I AM THE LEGAL NER OF THE ABOVE
DE5CRIBEO RESIDENIAL OPERTY. POWER
SIGNATURE 7 UTILITY CO.NOTIFIED
OF ��.l,p� IL(�GGGt/b�
PERMITT FINAL T �� (•.q,/ 'i , I,p/
®r /VkLI ' SU SUPERVISING ELECTRICAL MOO CASH
ENGINEER
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X06 2 1 2FEB 8 2 A 1.0'..80 .'R