HomeMy Public PortalAbout8724 BURGHARDT RD_Electrical__ 76A¢83-CE8'( 3-64 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINE
UILDING AND SAFETY DIV SIONER
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JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SGPT OF BUILDING LOCALITY �J T
NEAREST
FOR APPLICANT TO FILM. 0 si. .5'� � �.,.
RECEPT. _ TOTAL NO.
OUT1IL.gTS FIRST 20 e��3 ER G'
LIGHT 4�
ADD'LSSSWITCH OVER 20 F TOTALIRST A TEL. NO.
LIGHTING � FADO'L116 FIXTURES ADD'L TRICIAN "FIC
OV R -L O
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS ")
GARB.DISP. 6TA.COOK
CITY,64 TEL. NO.
DISHWASH. I' /AUTO.-WASH. STA E p
SPACE HTRS.(/ BTA.APR.('/.H.P.MAX.) ,$O LICENSE NO—z
MOTORS: OVER NOT OVER H.P. DIS T NO. GROUP ZONE
O 1 1.00
1 9 1.50 INSPECTION RECORD a
s a 2.00 0
6 Is 2.50 C
O
15 50 9.00 1—
so
so 100 5.001 a
N
SIGNS: NO. LAMPS _Z
NO.LAMPS
SERVICE O-SOOV-NOT OVER IOGA too
SERVICE O-s OOV.OV ER 200 A. 2.00
SERVICE OVER BOOV SOO
MISC.
PERMIT ISSUING FEE 2.00 i:Zj-a
SUPPLEMENTAQY PERMIT ISSUING FEE 1.00
TOTAL FEE $ l
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR V
LICEN9EO A8 REOUIREO B L09 ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I THE LEGAL DINNER
OF THE ABOVE
DEBORIBE0 REBID OPERCT POWER y
SIGNATURE UTILITY CO.NOTIFIED / v✓�/ i ' /
OF PERMITTE rzfjFINAL ��� ✓J��A�L��
Al:IDATION ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
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