HomeMy Public PortalAbout5327 CLOVERLY AVE_Electrical__ 7SA663 CESOG 10.62 APPLICATION FOR ELECTRICAL PERMIT ' �-
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
RECEPT TOTAL NO EACH FEE
LIGHT OUTLETS FIRST 20 Q 1$20 $ 6 OWNER
16 MAIL zp—r—c
ER
/ VE
SWITCH7] OVR 20 �� 10 bb ADDRESS
C =,
LIGHTING TOTAL� FIRST 20 �� 20 ITY TEL`NO�j' _
FIXTURES / /` Aoo L ELECTRICIAN
/ V OVER 20 10
RANGES~ CLO DRYERS 'WTR HTRS 100 ADDRESS
GARB D19P STA COOK n ` ' 9
CITY TEL NO (O
DISHWASH - AUTO WASH - - STATE 1
SPACE HTRS STA APP (ys H P MAX ) 50 O
Q LICENSE NO
MOTORS OVER NOT OVER HP _ DISTRT N.0 P CESSED BY
0 ; 1 100
j-��-�
1 3 150 INSPECTION RECORD
3 S 200 � at
O
V
8 15 250 a '
C9
15 50 3o6
SO 100 500
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V NOT OVER 200A r 100
SERVICE O 600V OVER 200 A 200 +
SERVICE OVER 600V 5 00 -
MISC
_ aa r -
PERMIT ISSUING FEE 200 Qu
SUPPLEMENTARY'PERMIT ISSUING FEE .. 100' '
TOTAL FEE $ &0
1 HEREBY ACKNOWLEDGE THAT 1'HAVE READ THIS APPLICATION 'APPROVALS DATE INSPECTOR 'SIGNATURE
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT +
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING a WIRING, a�♦ �(,�� ♦ .i
1 HEREBY CERTIFY THAT 1 PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BYrL0S ANGELES COUNTY AND STATETE OF FIXTURES �
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE _ L !�
DESCRIBED RESIDENTIAJPR ERTY' POWER /� I _ A A �r]
SIGNATURE UTILITY`CO NOTIFIED .0 Y 2 L'';
OF PERMITTE
FINAL
LIDATION ARTHUR C VEIT •'
CK MO CASH SUPERVISING ELECTRICAL ENGINEER ,
�Lri,o 5 5 5 FEB 14 2 D ` 1 3.00-