HomeMy Public PortalAbout8737 BURGHARDT RD_Electrical__ 70A663-CE806 3-66 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �J
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER '
WILLIAM A. JENSEN, SUP'T OF BUILDING LOCALITY
NEAREST
1FOR APPLICANT TO FILL IN I CROSS ST,
RECEP T. TOTAL NO. EACM FEE
LIGHT OUTLETS FAIL
IRST 20 S.2OS OWNER
ADD'L q ADDRESS
9WITC H.�� OVER 20 .10 Q
GHTING
LTOTAL FIRST 20 .20 CITY TEL. NO.
I
FIXTURES j ADD'L ELECTRICIAN
I
OVER 20 .Io
RANGES CLO.DRYER9 WTR,HTRB. 1.00 ADDRESS ; d 3
GARB.DIBP. BTA.COOK
CITY TEL. NO. -/
DIBNWABX. AUTO.-WASH./ � STATE
SPACE HTR8. BTA.^PP.(I/H.P.MAX.) • .50 LICENSE NO. ArF a �P
MOTORS, OVER NOT OVER H.P. DISTRICT NO. GROUP I ZONE PROCESSED BY
o 1 11.00
1 — s 1.50 INSPECTION RECORD �-
D
s e 2.00 O
U
e 15 2.50
18 — 5o 9.00 0
V
80 100 8.00 i
h
SIGNS, NO.LAMPS Z
NO.LAMPS
SERVICE O•SOOV-NOT OVER 200A 1.00
SERVICE O-BOOV.OV ER 200 A. 2.00
SERVICE OVER BOOV 5.00
MISC.
PERMIT ISSUING FEE 2.00 ✓ I
SUPPLEMENTABY PERMIT ISSUING FEE 1.00
TOTAL FEEIHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIOAPPROVALS DATE INSPECTOR'S SSIGNATURE
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPDUIT l/ ;
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATIELECTRICAL WIRING. NG /e./h)1 1-.-
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE URESCALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABODESCRIBED RESIDENTIALPROPERTY. ERSIGNATURE TY CO.NOTIFIED v L i .^
OF PERMITTE /
FINAL
(F;K MO ION ARTHURVEIT
CK MO CASH SUPERVISING
ELECTRICAL ENGINEER
LACG.8 3 0 59 DEC24 2 A 16.00-
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