HomeMy Public PortalAbout9829 BROADWAY_Electrical__ DS.-.A 11.00 APPLICATION FOR ELECTRIC PERMIT
DIVISION OF BUILDING AND SAFETY
DepoxI enl of County EngineerBUILDING"
COnaly Of LOB Angeles ADDRESS 7 O
JOHN A. LAMBIE, COUNTY ENGINEER L� C
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
- FOR APPLICANT TO FILL IN NEAREST / 3 /
PERMIT FEES CROSS ST. h OLU 16 57-
NUMBER / OWNER XeZP a
LIGHT OUTLETS MAIL VFa� d LL .
RECEPTACLES ADDRESS
WALL SWITCHES FEE CIT TEL. NO.
TOTAL OUTLETS ® 52 S ELECTRICIAN CD/Y
1 ELEC. RANGES 25 ADDRESS / z5'o Pig pf ffG/�
ELEC. HEATERS 25
KW EA CITY TEL.N I'-/O/
STATE
FIXTURES 5 LICENSE NO. J 7 ',�pIF��{
MOTORS DISTRICT f�Q�l GROUPi��S WT READY FOR INSPECTION
NUMBE I HORSEPOWER FEE JL
NEW I MVD. I HP OVER INC. EAOH
LES. $ .25 INSPECTION RECORD
1A 2 .50
2 5 1.00
3 15 1.30
15 50 2.50
50 200 5.00
MISC.
3
NO. SIGNS NO.TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
' WIRING $1.00 a0
FIXTURES $1.00
SUPPLEMENTARY .50 11 1APPROVALS
TOTAL FEE is 13
DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE ICORRECT AND AGREE TO COMPLY CONDUIT / r
WITH ALL COUNTY ORDINANCES
S AND STATE LAWS REGULATING /�`7G ..�/'OO
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES v
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ,r
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER n /
DESCRIBED RESIDENTIAL OPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL I v M
JOHN A.LAMBIE,COUNTY ENGINEER CAI, )ATION ARTHUR C.VEIT,CHIEF ELECT. INSPECTOR
1 OK MO CAHX
1_ Ca�6 5 4 1 HAY 31 2 1 .7 5 In