HomeMy Public PortalAbout9808 BROADWAY_Electrical__ TGABGG-DEBGG.tD.SG APPLICATION FOR ELECTRIC PERMIT
BUILDING AND SAFETY DMSION
Department of County Engineer BUILDING
COunty OS Los Angeles ADDRESS �j _
JOHN A. LAMBIE. COUNTY ENGINEER '�'� l�
CASSATT D. GRIFFIN:SUPT OF BUILDING LOCALITY
' NEAREST .
FOR APPLICANT TO FILL IN ROSS T �d/
PEFWT FEES
OWNER II
LIGHTS RECEPTACLES SWITCHES
NUMBER ITEM EACH FEE MAIL -
TOTAL OUTLETS $ to 8 ADDRESS '
ELEC. RANGE WATER HEATERSSO CITY TEL, NO.
CLOTHES DRYERS .50
ELECTRICIAN
ELEC. SPACE HEATERS, STAT Y. COOK-
ING UNITS, GARBAGE DISPOSERS, ADDRESS S I, Z !I
AUTO WASHERS, DISHWASHER .25
LIGHTING FIXTURES .10 CITY q TEL. NO.
MOTORS STATE
LICENSE NO. [` L
HORSEPOWER `
H.P. OVER INC. DISTRICT NO. I GROUP ;;ONE I READY FOR.INSPECTION
%a a LESS .25
Ik - 2 .50 INSPECTION RECORD
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00
MISC.
SIGNS NO,TRANS
NO.LAMPS
SERVICE 0-600V 1,00 DO _
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00 0 O
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTAL FEE I S y _%,()
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. ; WIRING C S1
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES.COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE'..LEGA��y..���[QQWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIA OP I .
SIGNATURE ` 1 �� UTILITY CO. NOTIFIED I
OF PERMIttE FINAL P s.•.
JOHN A. LLIDATION ARTHUR C.VETT.
COUNTY ENGINEER
c MO CASH SUPERVISING ELECTRICAL ENGINEER
2'389 SEP18 2 2.5G