HomeMy Public PortalAbout5015 CLOVERLY AVE_Electrical__ 'GA663-CE806 5-62 APPLICATION FOR ELECTR CAL ,PERMI
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
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
FETOTAL NO EACH FEE
OUTLETS FIRST 20 - $ 20 $ OWNER
MAIL
ADD'L 1O ADDRESS
OVER 20
TOTAL CITY TEL NO
NG
FIRST 20 20 tj _
ES 7 D�IR 20 10 ELECTRICIAN y/ /
CLO DRYERS WTR HTRS 100 ADDRESS STA COOK
CITY i TEL NOAUTO-WASH STATE
gpLICENSENOOVER NOT OVER H P DI_ I Gr
P NE PR
O 1 100
i s 150 INSPECTION RECORD e
a s zoo
8 15 250 / v
I n a.
'O
15 50 300 O
�� 12 ZA�� i �s' _ U
50 100 500
l
O
SIGNS NO TRANS ✓ H
NO LAMPS W
D_
SERVICE O 600V NOT OVER 200A too N
Z
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200 J
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8 SIGNATURE
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT / r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING f� /
ELECTRICAL WIRING I WIRING / E `-
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED A8 REgU1RED BY LOS ANGELES COUNTY AND STATE OF FIXTURES O ��
CALIFORNIA OR THAT I AM THA LEGAL OWNER OF THE ABOVE "' I
DESCRIBED RESIDENTI ROP POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEEZ
FINAL
0LIDATION ARTHUR'C VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LAC03 3 4 0EZ' AUG2 2 2 D 1 3.50