HomeMy Public PortalAbout9653 BROADWAY_Electrical__ '6A663-C-E8p6�$=62 �lPP�VC�4TB®N FOR Ed �'V�VCPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER EU I LOINS c)653 Ro WD W 1
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT GF BUILDING LOCALITY M �/
NEAREST / 1
FOR APPLICANT TO FILL IN CROSS 6T. /1
�1/ TOTAL NO. EACH FEE
LIGHT HRECEPT. OUTLETS FIRST 20 $ 20 $ D OWNER'
LIGMAIL
App'L
SWITCH. IO ADDRESS
� OVER 2D
GHTING
LTOTAL FIRST 201 20 CITY TEL. NO.
I .
FIXTURES ADD-L10 ELECTRICIAN 114 L-ILS _ =C
OV9R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. BTA.COOK
CITY S O MON L.% TEL. NO. G Z,.
DISH WASn. Auio.-wnsn. STATE
SPACE HTRS, BTA.APR-W.H.P.MAX.) .50 LICENSE NO. a[
MOTORS: OVER NOTOVER H.P. DISTRI T NO. GROUP ZONE I F',RPCESSED BY
0 t 1.00 itycT-,-
1 3 11.501 1 1INSPECTION RECORD
3 6 12.001
8 15 1 2.501
113 50 1 13.001 1 1 0
50 100 5.001 i I Of
O
SIGNS: NO.TRANS-
NO.LAMPBI
IW
O_
SERVICE 0.600V-NOT OVER 200A f 1.00 C' v
Z
SERVICE 0-60OV-OVER 200 A. 12.001
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 12.00 jJ
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ 3
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATB INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANOEs'AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR -
,LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ' F
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE .{
DESCRIBED RESIDENTIA PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE FINAL
VALIDATION ARTHUR.C. VEIT
MO CASH SUPERV181NG ELECTRICAL ENGINEER
T
L14Lo 0 5 & 5 'FEB 5 ...- 2 D 5 Lt
.p l . 3 l