HomeMy Public PortalAbout4901 CLOVERLY AVE_Electrical__ eae,a>„ APPLICATIONrOR EL CTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE. COUNTY ENGINEER _
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMT FEES CROSS Sr
4571-1
ITEM NUMBER OWNER
EACH FEE MAIL
OUTLETS rp $ E JI ADDRESS
LIGHTS I RECEPT SW 10
LIGHTING FIXTURES ��-- 10 CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRIICIAN
WATER HEATERS 50 ADDRESy-6
ELEC SPACE HTRS DISHWASHERS
CITY �y TEL NO 41
GARBA AUTO STATE
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC H P DIS IC NO I GROUP I ZONE P CESS B
0— 1/2 25 aJrQ '
1/2— 2 5o 7-7,4 �/ p INSPECTION CORD
2— 5 too `--sr
5— 15 150
1 S— 50 250 /
50-200 500
/ / l
SIGNS NO TRANS
NO LAMPS /
SERVICE 0-600V 100 /
SERVICE OVER 600V Boo
MISC /
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE S /Q
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES d./
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDEN PERTY POWER
SIGNATURE UTILITYCO NOTIFIED
OF PERMITTE
FINAL,
®F /CK/j MO TION S THUR N VEIT,"
cK Mo cases SUPERVISING ELECTRICAL.ENGINEER
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