HomeMy Public PortalAbout10532 1/2 DAINES DR_Electrical__ 76A663-CE896 3-64 APPLICATION FOR ELTRI AL PERMIT
COUNTY OF LOS ANGELES
' DEPARTMENT OF COUNTY ENGINEER BUILDING I
BUILDING AND SAFETY DIVISION ADDRESSJOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY
NEARESTFOR APPLICANT TO FILL IN CROSS ST
TOTAL NO EACH FEE
OUTLET FIRST 20 S20 DMWNERLIGHTADD'L 10ADDRESS
SWITCH /, OVER20 TOTAL CITY TEL. NO.
LIGHTING FIRST 20 20FIXTURES ADD'L 10 ELECTRICI ,ov R 20 1 , ' I
RANGES CLO DRYERS WTR HTRS. 1.00 ADDRESS 8923 Lu
BFeadway
GARB DISP STA COOK CITY San Gabriel T V N m r7 „G
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DISHWASH AUTO•WASHQ`. STATE
SPACE HTRS BTA��('/s H.P.MAX) �. .50 OD LICENSE NO �� '
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MOTORS OVER NOT OVER H.P DISTPLCT O. GROU IP NE P CESSED
o t 100 U
1 3 15o INSPECTION RECORD
3 8 200 O
V
8 15 250
O
15 50 300 F-
50 TOO 5 00 W
SIGNS' NO TRANS �� (/ Z
NO LAMPS �1/ 2lCI
V
SERVICE 0.60OV-NoT ovER 200A 1001
SERVICE 0.60OV-OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE
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 CONDUIT A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING p
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR /1
LICENSED AS REQUIRE ;ELES COUNTY AN6 STATE OF FIXTURES V
CALIFORNIA O THAT I Apl THE '9'
E NE OF T e ABOVE
DESCRIBED RE 1 NTIA PROPERTY POWER
SIGNATURE r UTILITY CO NOTIFIED n
OF PERMITT y
FINAL I�'Z.`�.I lei
/ LIDATION ARTHUR C. VEITJ
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
_ _ 4 4 1 2-0 SEP 3Q 2 D 12.6,0-