HomeMy Public PortalAbout5116 DALEVIEW AVE_Electrical__ ]HA6fi9CEe06 10-59 \
APPLICATION FOR ELECTRIC PERMIT �.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING / }�
BUILDING AND SAFETY DIVISION ADDRESS J-I 1 6
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSSST.
A
ITEM NUMBER EACH FEE OWNER J
MAIL
OUTLE $ $ ADDRESS
LIGHTS RECEPT. 9W. .ID o
LIGHTING FIXTURES +LZ 10 2G CITY TEL.NO.
ELEC.RANGES /CLO.DRYERS ELECTRICIAN
WATER HEATERS .SO ADDRESS I(P a n�dIL� 'J
ELEC.SPACE HTRS.LDISHWA5HER5 CITY TEL. O. 7fe /
JEJ
GARBAGE D15POSERS AUTO.-
STATE /
WASHERS SLA.COOKING UNITS .25 ]^ LICENSE NO. YC
MOTORS: OVER INC. H.P. DIL7RICOT N� GROTUP I ZONE PROLES BY
FI YMILQ/ O— t/z .25 'L7 Ji
v — 2 so INSPECTION RECORD
z— s Loo 2 . '_ C. /mgr- ("-#.!o L .TF
5— 15 1.50
I04a . 1—
15— 50 2.50
50-200 5.00
SIGNS:. NO.TRANS. l61 O- 1/ J-✓Y/�ID� MTP �IJ RWiY/c.':--.- /
NO.LAMPS
iI >
SERVICE 0-500V 1.00 f'y
SERVICE OVER BOOV 5.00
MISC.
WIRING PERMIT1.00 111
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT - .50
TOTAL FEE ls14 -f
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE To COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 PROPERLY REGISTERED AND/OR a�
LICENSED AS
REQUIRED LOSS ANGELES COUNTYNTYAND STATE OF FIXTURES
CALIFORNIA OR THAT I A AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE 4p UTILITY CO.NOTIFIED nn
OF PERMITTE FINAL
®vUPATION ARTHUR — _4 .
CK o CASH SUPERVISINGNGELECTRICAL ENGINEER
L`iCo°5 2 6 8 rug 2 2 2 0
13 .4. 5