HomeMy Public PortalAbout6036 BURTON AVE_Electrical__ 76A663-CE6061-67 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Bull LDING
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BUILDING AND SAFETY DIVISION ADDRESS 0376 /FO p 1'',f7G/_y
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING, LOCALITY
NEAREST e,
FOR APPLICANT TO FILL IN CROSS ST. i
RECEPT. TOTAL NO. EACH FEE nn
OUTLETS FIRST 20 $20 $ OWNER G`' RA
iLX r .61VA1D,(?aiP,�
.
LIGHT MAIL L
SWITCH OVER 20 .f0 ADD L ADDRESS W6
cQ �4 60
TOTAL FIRST 20 ,20 CITV Fii/ �c, /'r TEL. ND. 69 6
LIGHTING FI%TURES
FIXTURES ADD 1- 10 CONTRACTOR
OVER 20
RDRYERS WTp.HTR9. 1.p0 OO
ANGE ADDRESS
GARB.Dill. STA.COOK
_ CITY TEL. NO.
OI9HWASH. AUTO.-WASH. STATE
SPACE HTRB, STA. APPL. ,50 LICENSE NO.
MOTORS: ovER NOT OVER H.P. DISTRICCT NO. GROUP ZONE PR E ED B
O 1 1.00 S —�
1 3 1.50 INSPECTION RECORD
s B 2.00
8 15 2.50IS 50 H1:2.00
y
50 100 —�
SIGNS: NO.TRANS- C
N0."MPS O
H
SERVICE 0.600V-NOT OVER 200A O' WSERVICE O-600V-OVER 200 A.SERVICE OVER 600V .00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR-8 SIGNATURE
TOTAL FEE ® f
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UN DER$LA6 WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
IHEREBY CERTIFY THAT AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE Of FIXTURES
CALWO RN IA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO POWER
RESIDE IN.THE ABOVE DESCRIBED E ENTIAL pgOPERTY.
SIGNATURE UTILITY CO.NOTIFIED ti
OF PERMITTEE
VALID ION JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
CK M CASH
. 0 451— SEP 6 z A 5 .00•
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