HomeMy Public PortalAbout10641 DAINES DR_Electrical__ 7EA663-CE806 3"B. , 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 LOCALITY
NEAREST /
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH I FEE —
C OUTLETS FIRST 20 $-20 S OWNER
LIGHT MAIL
ADV'L ADDRESS S
SWITCH. OVER 20 /1 f0
TOTAL CITY TEL. NO.
LIGHTING F1RBT 20 .20 _
FIXTURES nuD'L
OVR 20 10 ELECTRICIAN
RANGES CLO.DRYERS WTR.HTR9. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY o A lrtF- TEL. NO.
DISMWASH. AUTO.-WARM. STATE
SPACE HTRS. J STA.APP.(?A H.P.MAE.1 .SO LICENSE NO.
15)
Mo7oRBI OVER NOT OVER H.P. DISTRICT NO. G�20UP ZONE P CESSED BY
o — 1 1.00 ,J�-. L/ �' P .c
1 — 3 1.50 INSPECTION RECORD y
o_
3 e 2.00 � +'L �(pr 0X Q
S IS 2.SO d.
15 So 3.00 - 0
A n h .l.l
so too 5.00 SIR (a S' P1 L_L S 5 w
SIGNS. NO.TRANS. Z
NO.LAMPS HAvV7 ''Q C 6r�14L
SERVICE O-SOOV-NOT OVER 200A 1.00 ' IN REc- o-cz_ -+ op
SERVICE O-SOOV-OVER 200 A. 2;00 / S L Cl On7OVIT' t-0 Ft. LO/J ro
SERVICE OVER SOOV 5.00
MISC. IBJ TO 0= zoav
(o FILV 4 IA) _
PERMIT ISSUING FEE 2.00 JD 'F 11CTU S
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 -m' A
TOTAL FEE6 O Ilei
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LICATION APPROVALS DATE IN48ROR'S SIGNATURE
AN
STATE THAT THE ABOVE I9 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING bill q 1,("r
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED FINAL USW%
VALIDATION ARTHUR C. VEIT • v'
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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0 9 4 4� .1P`r: ?7 2 D 1 0 +v` v