HomeMy Public PortalAbout6040 CLOVERLY AVE_Electrical__ 76A663-CB606 B-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, SUPT OF BUILDING LOCALIT
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER
LIGHT 2-0 .20
C�!(_J ADD'L ADDRESS
SWITCH./L -F OVER 20 •10 OD
TOTAL I CITY TEL O.
LIGHTING F7R5T 201 .20
FIXTURES } I ADD'L 10 ELECTRICIAN /PSL
OVFR 20
_ e
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRE152Q
`ARB.DISP. STA.COOK CIT R -
.li771JP�aTEL.NO 6IT3 S 0
DISHWASH. AUTO.-WASH._ STATE r� b
SPACE HTR STA.APP.(yY H.P.MAX.) .SO
LICENSE NO. / /
MOTORS: OVER NOT OVER H.P. DISTRICyT N _�O NPFSED BY
O 1 1.00 ¢
1 3 1.50 INSPE TION RE ORD
3 a 2.00
8 15 2.50
15 50 3.00 >-
CL
50 100 5.00 0
SIGN';: NO.TRANS-
NO.LAMPS O
F
SERVICE 0.600V-Nor OVER 200A 1.00 U
W
SERVICE 0.600V-OVER 200 A. 2.00 a
N
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTASY PERMIT ISSUING FEE 1.00
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THATA THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI L PR PERT POWER
SIGNATURE UTILITY CO.NOTIFIED
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OF PERMITTEE -
FINAL
ATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER