HomeMy Public PortalAbout9950 BROADWAY_Electrical__ 7BA663.CEBO6 I0-62 APPLICATION FOR ELECTRICAL PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �� O
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN cR05s sT.
RECEPT. TOTAL NO. EACH FEE E'L
OUTLETS FIasT 20 $
20 S OWNER /
LIGHT MAIL
swlTC H.
ADD'L ADDRESS C/TY
OYER 20 .IG
TOTAL CITY TEL. NO
LIGHTING FIRsr 20 .20
FIXTU ES
A.. Lo 10 ELECTRICIAN L �
DYER 2O
RANGE CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
RB.DIS,. STA.COOK �y
CITY .`. ' TEL. NO
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(:/H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST CT O. GROUP ZONE]
O 1 1.00
1 G 1.50 INSPECTION RECORD
r
d
B e 2.00 O
6 — 15 2.50 O
ne
15 50 3.00 O
50 100 5.00
IL
SIGNS: NO.TRANS. I N
NO.LAMPS Z
SERVICE 0.600V-NoT OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.001 1
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 5
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY LCONDUIT /
WITH ALL COUNTY ORDINANCES AND STATE AWS REGULATING p p
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I A PROPERLY REGISTERED AND/OR
LICENSED AS REDUIR Y LO NGELEB COUNTY AND STATE OF FIXTURES
CALIFORNIA OR TN 1 M LEGAL OWNEfl OF THE ABOVE
DESCRIBED RE OEM DEN IAL Y. POWER
SIGNATURE _ UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
CK
0MO CASH LIDATION ARTHUR C. VEIT -
SUPERVISING ELECTRICAL ENGINEER
.� 8 0 4 9:l AL 2- 6 2 D 4
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